کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3268910 1208103 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The learning curve for robotic distal pancreatectomy: an analysis of outcomes of the first 100 consecutive cases at a high‐volume pancreatic centre
ترجمه فارسی عنوان
منحنی یادگیری پانکراتکتومی دیستال رباتیک: تجزیه و تحلیل نتایج اول 100 مورد متوالی در یک مرکز پانکراس بالا
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
چکیده انگلیسی

BackgroundRobotic distal pancreatectomy (RDP) is performed increasingly, but knowledge of the number of cases required to attain procedural proficiency is lacking. The aim of this study was to identify the learning curve associated with RDP at a high‐volume pancreatic centre.MethodsMetrics of perioperative safety and efficiency for all consecutive RDPs were evaluated. Outcomes were followed to 90 days. Cumulative sum (CUSUM) analysis was used to identify inflexion points corresponding to the learning curve.ResultsBetween 2008 and 2013, 100 patients underwent RDP. There was no 90‐day mortality. In two patients (2.0%), surgery was converted to laparotomy. Thirty procedures were performed for pancreatic adenocarcinoma. Precipitous operative time reductions from an initial operative time of 331 min were observed after the first 20 and 40 cases to 266 min and 210 min, respectively (P < 0.0001). The likelihood of readmission was significantly lower after the first 40 cases (P = 0.04), and non‐significant reductions were observed in incidences of major (Clavien–Dindo Grade II or higher) morbidity and Grade B and C leaks, and length of stay.ConclusionsIn this experience, RDP outcomes were optimized after 40 cases. Familiarity with the platform and dedicated training are likely to contribute to significantly shorter learning curves in future adopters.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: HPB - Volume 17, Issue 7, July 2015, Pages 580–586
نویسندگان
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