Laparoscopic Pyloromyotomy: A Study of the Learning Curve

Binet, Aurélien; Bastard, François; Meignan, Pierre; Braik, Karim; Touze, Anne Le; Villemagne, T.; Morel, Baptiste; Robert, M.; Klipfel, C.; Lardy, H.

doi:10.1055/s-0037-1603090

Cited by 9 publications

(2 citation statements)

References 28 publications

(45 reference statements)

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“…The largest changes in Pi scores were seen by the first three sessions as more than 50% of the final Pi value had been achieved. Studies suggest that the large initial increases to Pi score is due to refinements in accuracy which reduces errors shortly followed by improvements to time efficiency [ 21 , 25 , 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial

et al. 2020

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Background Unsteady camera movement and poor visualization contribute to a difficult learning curve for laparoscopic surgery. Remote-controlled camera holders (RCHs) aim to mitigate these factors and may be used to overcome barriers to learning. Our aim was to evaluate performance benefits to laparoscopic skill acquisition in novices using a RCH. Methods Novices were randomized into groups using a human camera assistant (HCA) or the FreeHand v1.0 RCH and trained in the (E-BLUS) curriculum. After completing training, a surgical workload questionnaire (SURG-TLX) was issued to participants. Results Forty volunteers naïve in laparoscopic skill were randomized into control and intervention groups (n = 20) with intention-to-treat analysis. Each participant received up to 10 training sessions using the E-BLUS curriculum. Competency was reached in the peg transfer task in 5.5 and 7.6 sessions for the ACH and HCA groups, respectively (P = 0.015), and 3.6 and 6.8 sessions for the laparoscopic suturing task (P = 0.0004). No significance differences were achieved in the circle cutting (P = 0.18) or needle guidance tasks (P = 0.32). The RCH group experienced significantly lower workload (P = 0.014) due to lower levels of distraction (P = 0.047). Conclusions Remote-controlled camera holders have demonstrated the potential to significantly benefit intra-operative performance and surgical experience where camera movement is minimal. Future high-quality studies are needed to evaluate RCHs in clinical practice. Trial registration ISRCTN 83733979

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Section: Discussionmentioning

confidence: 99%

“…Skill demonstration was performed by MSAA and NA who were trained in laparoscopic technique and E-BLUS competent. The opportunity to ask questions on E-BLUS and camera holding technique was given [ 2 , 21 ]. Supplementary e-learning resources on LS theory and technique for performing E-BLUS tasks were distributed [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial

et al. 2020

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Laparoscopic pyloromyotomy for hypertrophic pyloric stenosis: a survey of 407 children

et al. 2018

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LP procedure appeared to be as quick as the open procedure. Our results were similar to others series for intraoperative complications. According to operative time, this technique does not have an impact on operative room utilization. Vomiting duration at presentation in HPS does not seem to have a significant impact on postoperative outcomes. LP procedure causes little pain during the postoperative period. No wound complications were registered.

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Single-incision versus conventional laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis: a systematic review and meta-analysis

Chu

Yang

et al. 2023

Int J Colorectal Dis

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Laparoscopic Pyloromyotomy: A Study of the Learning Curve

Abstract: The learning curve of LPM is cut into three stages. Only 10 cases are needed to acquire the gesture. Complications appear after this acquirement period.

Cited by 9 publications

References 28 publications

Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial

Evaluation of a remote-controlled laparoscopic camera holder for basic laparoscopic skills acquisition: a randomized controlled trial

Laparoscopic pyloromyotomy for hypertrophic pyloric stenosis: a survey of 407 children

Single-incision versus conventional laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis: a systematic review and meta-analysis

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