Table 4 .
Comparison of the use of laparoscopy by operation for Certificate of Completion of Training before and after 2006
| Operation type | Before or after 2006 | Respondents (n) | Likelihood of laparoscopic approach (median Likert)a | 95% confidence interval |
p-value | |
|---|---|---|---|---|---|---|
| Lower | Upper | |||||
| Appendicectomy | Before | 52 | 4 | –1 | –4.76e−5 | <.001 |
| After | 99 | 5 | ||||
| Cholecystectomy | Before | 52 | 5 | –5.13e−5 | 4.61E–05 | 0.837 |
| After | 99 | 5 | ||||
| Perforated peptic ulcer | Before | 52 | 3 | –1 | –8.88e−6 | 0.024 |
| After | 99 | 3 | ||||
| Hinchey 3 diverticulitis | Before | 52 | 1 | –1 | –6.46e−5 | 0.004 |
| After | 99 | 3 | ||||
| Hinchey 4 diverticulitis | Before | 52 | 1 | –2.37e−5 | 3.05E–05 | 0.301 |
| After | 99 | 1 | ||||
| Small bowel perforation | Before | 52 | 1 | –1.02e−7 | 5.92E–05 | 0.191 |
| After | 99 | 1 | ||||
| Obstructing colonic cancer | Before | 52 | 1 | –4.67e−5 | –2.84e−5 | 0.031 |
| After | 99 | 1 | ||||
| Adhesional small-bowel obstruction | Before | 52 | 2 | –1 | 1.78E–05 | 0.151 |
| After | 99 | 2 | ||||
| Obstructing small-bowel lesion | Before | 52 | 2 | –1 | –9.13e−5 | 0.005 |
| After | 99 | 3 | ||||
| Incarcerated hernia | Before | 52 | 1 | –5.09e−5 | 3.61E–05 | 0.411 |
| After | 99 | 1 | ||||
| Strangulated hernia | Before | 52 | 1 | –4.47e−5 | 4.94E–05 | 0.45 |
| After | 99 | 1 | ||||
| Ischaemic bowel | Before | 52 | 1 | –4.63e−5 | 2.95E–05 | 0.555 |
| After | 99 | 1 | ||||
| Subtotal colectomy for refractory colitis | Before | 52 | 1 | –1 | –4.19e−5 | 0.006 |
| After | 99 | 2 | ||||
a Likert scale: never, 1; rarely, 2; sometimes, 3; frequently, 4; always, 5. Comparison made using the Mann–Whitney U test. Significance level p < 0.05.