Comprehensive Learning Curve of Robotic Surgery: Discovery From a Multicenter Prospective Trial of Robotic Gastrectomy
DC Field | Value | Language |
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dc.contributor.author | Kim, M.S. | - |
dc.contributor.author | Kim, W.J. | - |
dc.contributor.author | Hyung, W.J. | - |
dc.contributor.author | Kim, H.-I. | - |
dc.contributor.author | Han, S.-U. | - |
dc.contributor.author | Kim, Y.-W. | - |
dc.contributor.author | Ryu, K.W. | - |
dc.contributor.author | Park, S. | - |
dc.date.accessioned | 2021-12-02T15:42:07Z | - |
dc.date.available | 2021-12-02T15:42:07Z | - |
dc.date.created | 2021-08-31 | - |
dc.date.issued | 2021-05 | - |
dc.identifier.issn | 0003-4932 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/128913 | - |
dc.description.abstract | Objective: To evaluate the complication-based learning curve and identify learning-associated complications of robotic gastrectomy. Summary Background Data: With the increased popularity of robotic surgery, a sound understanding of the learning curve in the surgical outcome of robotic surgery has taken on great importance. However, a multicenter prospective study analyzing learning-associated morbidity has never been conducted in robotic gastrectomy. Methods: Data on 502 robotic gastrectomy cases were prospectively collected from 5 surgeons. Risk-adjusted cumulative sum analysis was applied to visualize the learning curve of robotic gastrectomy on operation time and complications. Results: Twenty-five cases, on average,were needed to overcome complications and operation time-learning curve sufficiently to gain proficiency in 3 surgeons. An additional 23 cases were needed to cross the transitional phase to progress from proficiency tomastery. The moderate complication rate (CD≥grade II) was 20% in phase 1 (cases 1-25), 10% in phase 2 (cases 26-65), 26.1% in phase 3 (cases 66-88), and 6.4% in phase 4 (cases 89-125) (P < 0.001). Among diverse complications, CD ≥ grade II intra-abdominal bleeding (P < 0.001) and abdominal pain (P = 0.01) were identified as major learning-associated morbidities of robotic gastrectomy. Previous experience on laparoscopic surgery and mode of training influenced progression in the learning curve. Conclusions: This is the first study suggesting that technical immaturity substantially affects the surgical outcomes of robotic gastrectomy and that robotic gastrectomy is a complex procedure with a significant learning curve that has implications for physician training and credentialing. © 2019 Wolters Kluwer Health, Inc. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | Lippincott Williams and Wilkins | - |
dc.title | Comprehensive Learning Curve of Robotic Surgery: Discovery From a Multicenter Prospective Trial of Robotic Gastrectomy | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, S. | - |
dc.identifier.doi | 10.1097/SLA.0000000000003583 | - |
dc.identifier.scopusid | 2-s2.0-85072060228 | - |
dc.identifier.wosid | 000662180400030 | - |
dc.identifier.bibliographicCitation | Annals of Surgery, v.273, no.5, pp.949 - 956 | - |
dc.relation.isPartOf | Annals of Surgery | - |
dc.citation.title | Annals of Surgery | - |
dc.citation.volume | 273 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 949 | - |
dc.citation.endPage | 956 | - |
dc.type.rims | ART | - |
dc.type.docType | Article in Press | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | ASSISTED GASTRECTOMY | - |
dc.subject.keywordPlus | CANCER | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | LAPAROSCOPIC GASTRECTOMY | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | MORBIDITY | - |
dc.subject.keywordAuthor | complication | - |
dc.subject.keywordAuthor | learning curve | - |
dc.subject.keywordAuthor | operation time | - |
dc.subject.keywordAuthor | robotic gastrectomy | - |
dc.subject.keywordAuthor | robotic surgery | - |
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