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Position Statement on Advanced Laparoscopic Training
The Society of American Gastrointestinal Endoscopic Surgeons (SAGES) endorses the
following concepts for training in laparoscopic surgery.
1) Laparoscopic operations are integral components of general surgery.
2) Training of general surgeons in the foundations of laparoscopic surgery should occur within
the general surgery residency. Training and certification in the Fundamentals of Laparoscopic
Surgery is a part of this foundation.
3) General surgical training includes a defined number of basic1 laparoscopic operations and
the minimum numbers set by the RRC serve as a reference point for basic laparoscopy
exposure.
4) General surgical training also includes a defined number of advanced2 laparoscopic
operations and the minimum numbers set by the RRC serve as a reference point for advanced
laparoscopy exposure.
5) While all residents should meet the RRC requirements for advanced laparoscopy and
endoscopy, Program Directors may be flexible and tailor the residency experience in advanced
laparoscopic surgery for those individuals who are committed to a career in general surgery.
6) The RRC also requires 85 flexible endoscopy procedures, of which 50 should be
colonoscopies.
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