Laparoscopic Appendectomy Performed by Junior SUrgeonS: Impact of 3D Visualization on Surgical Outcome
Laparoscopic Appendectomy Performed by Junior SUrgeonS: Impact of 3D Visualization on Surgical Outcome
Laparoscopy has revolutionized the approach to a number of surgical problems causing a
 re-evaluation of several clinical strategies. Now it has become the standard treatment for
 majority of ailments including symptomatic gall stone disease, appendicitis, GERD
 (gastroesophageal reflux disease), morbid obesity and colorectal disease. All these
 developments aim at minimizing perioperative morbidities, providing rapid postoperative
 recovery and enhancing patient's safety profile. One of the major limitations of conventional
 laparoscopy is lack of depth perception. Introduction of 3D imaging, has removed many of
 these technical obstacles. In 1993, Becker et al., reported that a 3D display might improve
 laparoscopic skills. Since then, many researchers have demonstrated benefit of 3D imaging .
 Starting from this, we can theorize an impact of 3D technologies on surgeon's learning
 curves. This concern is recently being demonstrated in experimental and clinical setting with
 improvement of hand-eye coordination, better laparoscopic skills and less time to learn
 surgical procedure. Usually junior surgeons (JS) start their activities with cholecystectomy
 and appendectomy but, despite an amount of literature regarding the first procedure, there is
 a 'black hole' regarding the use of 3D imaging in laparoscopic appendectomy (LA).

 The investigators decided to investigate the impact of 3D visualization on surgeons' and
 surgical outcome during laparoscopic appendectomy (LA) performed by junior surgeons (JS).
 Operative details and clinical aspect are both take in account in order to looking for any
 advantages or concerns conferred on JS in performing LA.
Inclusion Criteria:

 -  All adult patients scheduled to undergo laparoscopic appendectomy. Ages eligible for
 study: >18 Sexes eligible for study: All

 Exclusion Criteria:

 -  Patients who decline to join the study

 -  Patients under 18 years old

 -  Patients with contraindication to undergo laparoscopic surgery.

 -  Patients without appendicular disease found at laparoscopy (such as complicated
 inflammatory bowel disease, tumor, complicated diverticula, gynecological disorder)

 -  Patients undergoing open appendectomy