The learning curve for hand-assisted laparoscopic colectomy: a single surgeon’s experience

Kang, Jung-Cheng; Jao, Shu-Wen; Chung, Ming-Hua; Feng, Chun Che; Chang, Yao-Jen

doi:10.1007/s00464-005-0448-3

Cited by 25 publications

(26 citation statements)

References 20 publications

(22 reference statements)

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“…This is in contrast to the lower number reported for technical competency. 13,14 In the present study, the overall operative duration as a primary end point declined by 78 minutes (PϽ.001) in P2. The overall morbidity, infectious complications, length of stay, and readmission rate were also lower in P2.…”

Section: Commentmentioning

confidence: 81%

Technical Proficiency in Hand-Assisted Laparoscopic Colon and Rectal Surgery

et al. 2012

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Section: Commentmentioning

confidence: 81%

Technical Proficiency in Hand-Assisted Laparoscopic Colon and Rectal Surgery

et al. 2012

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“…As a result, possible statistic errors arising from different endoscopists, different procedures, different operation settings, and different medical centers were eliminated [6]. Moreover, we divided the patients into two groups, the easy group and the difficult group, according to the level of operation difficulty [7]. To ensure reliability of the statistical results, we used the chi-square test to eliminate possible interference from different conditions of the patients.…”

Section: Discussionmentioning

confidence: 99%

The learning curve for endoscopic thyroidectomy: a single surgeon’s experience

et al. 2009

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“…Several studies have reported that clinical outcomes improve when surgeons develop their own expertise in their procedure, and have indicated the presence of a learning curve for their surgical procedures [10,11,12]. There has been some published studies investigating the presence of a learning curve for phacoemulsification which has become the method of choice for cataract surgery [13,14,15].…”

Section: Discussionmentioning

confidence: 99%

Learning Curve of the Scleral Buckling Operation: Lessons from the First 97 Cases

Sagong¹,

Chang²

2009

Ophthalmologica

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Background/Aims: To provide an insight into the learning curve associated with scleral buckling surgery for an ophthalmologist on a fellowship course and to evaluate risk factors affecting outcomes during this period. Methods: Retrospective data were collected on 97 consecutive scleral buckling procedures (divided into 3 consecutive groups) performed by one surgeon (W.C.) beginning his first fellowship year. We evaluated the anatomic results, operative times and complications, and sought to identify risk factors of anatomic failure. Results: The single-operation success rate was 71.9% (23 of 32 eyes) in the first group, which was lower than 87.5% (28 of 32 eyes) in the second and 84.8% (28 of 33 eyes) in the third. The operative time was 106.3 min in the first, which is longer than 86.5 min in the second and 73.8 min in the third group. Factors predictive of unfavorable anatomic outcome were multiple breaks and multiple buckling procedures in the first 32 cases, and multiple breaks and breaks located posterior to the equator in the latter 65. Conclusion: Surgical experience of approximately 30 cases was required to achieve stable clinical results. Thus, a retinal surgeon at the beginning of his career may increase his success rate by careful case selection avoiding high-risk groups until he reaches the level of experience indicated by the learning curve.

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The learning curve for hand-assisted laparoscopic colectomy: a single surgeon’s experience

Abstract: Approximately 21 to 25 cases were needed to achieve proficiency in this series.

Cited by 25 publications

References 20 publications

Technical Proficiency in Hand-Assisted Laparoscopic Colon and Rectal Surgery

Technical Proficiency in Hand-Assisted Laparoscopic Colon and Rectal Surgery

The learning curve for endoscopic thyroidectomy: a single surgeon’s experience

Learning Curve of the Scleral Buckling Operation: Lessons from the First 97 Cases

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