Learning Curve in Laparoscopic Pancreaticoduodenectomy: Using Risk-Adjusted Cumulative Summation Methods

Author(s):  
Hanbaro Kim ◽  
Han Zo Choi ◽  
Byung Mo Kang ◽  
Jung Woo Lee
HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S75
Author(s):  
S. Dokmak ◽  
B. Aussilhou ◽  
F.S. Ftériche ◽  
O. Soubrane ◽  
A. Sauvanet

Author(s):  
Emily L. Lin ◽  
Agustin Sibona ◽  
Jiahao Peng ◽  
Pramil N. Singh ◽  
Esther Wu ◽  
...  

2013 ◽  
Vol 34 (8) ◽  
pp. 1469-1475 ◽  
Author(s):  
Allen Y. Wang ◽  
Jeffrey T. Wang ◽  
Mark Dexter ◽  
Melville Da Cruz

2016 ◽  
Vol 402 (5) ◽  
pp. 853-861 ◽  
Author(s):  
Chien-Hung Liao ◽  
Yu-Yin Liu ◽  
Shang-Yu Wang ◽  
Keng-Hao Liu ◽  
Chun-Nan Yeh ◽  
...  

HPB ◽  
2020 ◽  
Vol 22 ◽  
pp. S266
Author(s):  
S. Dokmak ◽  
F.S. Ftériche ◽  
B. Aussilhou ◽  
P. Levy ◽  
J. Cros ◽  
...  

Pancreatology ◽  
2013 ◽  
Vol 13 (3) ◽  
pp. S83
Author(s):  
Igor Khatkov ◽  
Viktor Tsvirkun ◽  
Roman Izrailov ◽  
Pavel Tyutyunnik

Medicine ◽  
2019 ◽  
Vol 98 (14) ◽  
pp. e15191 ◽  
Author(s):  
Yoonje Lee ◽  
Hyungoo Shin ◽  
Changsun Kim ◽  
Inhye Lee ◽  
Hyuk Joong Choi

2014 ◽  
Vol 29 (2) ◽  
pp. 187-192 ◽  
Author(s):  
Lionel Dessolle ◽  
Florence Leperlier ◽  
David J. Biau ◽  
Thomas Fréour ◽  
Paul Barrière

2019 ◽  
Vol 8 (3) ◽  
pp. 402 ◽  
Author(s):  
HyunGoo Kim ◽  
Hyungju Kwon ◽  
Woosung Lim ◽  
Byung-In Moon ◽  
Nam Sun Paik

With the increased utilization of robot thyroidectomy in recent years, surgical proficiency is the paramount consideration. However, there is no single perfect or ideal method for measuring surgical proficiency. In this study, we evaluated the learning curve of robotic thyroidectomy using various parameters. A total of 172 robotic total thyroidectomies were performed by a single surgeon between March 2014 and February 2018. Cumulative summation analysis revealed that it took 50 cases for the surgeon to significantly improve the operation time. Mean operation time was significantly shorter in the group that included the 51st to the 172nd case, than in the group that included only the first 50 cases (132.8 ± 27.7 min vs. 166.9 ± 29.5 min; p < 0.001). On the other hand, the surgeon was competent after the 75th case when postoperative transient hypoparathyroidism was used as the outcome measure. The incidence of hypoparathyroidism gradually decreased from 52.0%, for the first 75 cases, to 40.2% after the 76th case. These results indicated that the criteria used to assess proficiency greatly influenced the interpretation of the learning curve. Incorporation of the operation time, complications, and oncologic outcomes should be considered in learning curve assessment.


Sign in / Sign up

Export Citation Format

Share Document