Advance GI surgery

With the advent of minimally invasive surgery over the last 2 decades, a need has arisen for training programs dedicated exclusively to these techniques, since surgery residents graduating from general surgery training programs do not get adequate experience in advanced laparoscopic/robotic/endoscopic techniques. Approximately 130 MIS training programs have been initiated in the U.S. over the past 15 years.

Most programs are heavily weighted in basic laparoscopic procedures (cholecystectomy, hernia repair, some colectomy), with very few offering experience in complex procedures (pancreas, stomach, adrenal, etc.).

A recent published survey completed by fellows in training confirmed that doctors are interested in more complex procedures (Tichansky, et al, Surg Endosc 2007).