[ST-15] Statement on Laparoscopic and Thoracoscopic Procedures
[by the American College of Surgeons]
Since the "Statement on Laparoscopic Cholecystectomy"
was published in the June 1990 issue of the Bulletin,
advances in minimal access techniques have transformed many surgical
procedures. In response to inquiries about appropriate qualifications
for performing laparoscopic and thoracoscopic procedures, the
American College of Surgeons has consistently emphasized the
need for training and experience in these or any other operations
for which a surgeon requests privileges. Moreover, the College
has strongly suggested that each hospital maintain an accurate
registry of each surgeon's experience with minimal access operations,
and encourages surgeons to assist one another in order to gain
the maximum experience with the new technology and to share the
value learned from each patient. Comparative results can provide
excellent education and result in better patient outcomes.
A basic principle for any surgical procedure is that it
should be performed by a qualified surgeon. In light of this
principle, the American College of Surgeon wishes to make the
following statement.
For optimum quality patient care, laparoscopic and thoracoscopic
surgical procedures should be performed only by surgeons who
are qualified through documented training and experience to perform
comparable open thoracic and abdominal surgical procedures and
to manage their potential complications. The surgeon must have
the judgment, training, and capability to proceed immediately
to a standard open surgical procedure if necessary.
Statements
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Reprinted from Bulletin of the American College
of Surgeons
Vol. 78, No. 9, Page 48, September 1993
