Laparoscopic surgery for gastro-oesophageal reflux: Beyond the learning curve

1996 ◽  
Vol 83 (9) ◽  
pp. 1284-1287 ◽  
Author(s):  
D. I. Watson ◽  
G. G. Jamieson ◽  
R. J. Baigrie ◽  
G. Mathew ◽  
P. G. Devitt ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Oesophageal Reflux

Laparoscopic surgery for gastro-oesophageal reflux: Beyond the learning curve

1996 ◽  
Vol 83 (9) ◽  
pp. 1284-1287 ◽  
Author(s):  
D. I. Watson ◽  
G. G. Jamieson ◽  
R. J. Baigrie ◽  
G. Mathew ◽  
P. G. Devitt ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Oesophageal Reflux

scholarly journals A learning curve in using organ retractor for single-incision laparoscopic right colectomy

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Toshio Shiraishi ◽  
Tetsuro Tominaga ◽  
Takashi Nonaka ◽  
Kiyoaki Hamada ◽  
Masato Araki ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Blood Loss ◽  
Learning Curve ◽  
Single Incision ◽  
Operation Time ◽  
Perioperative Outcomes ◽  
Single Incision Laparoscopic Surgery ◽  
Right Colon ◽  
Right Colon Cancer

AbstractSingle-incision laparoscopic surgery (SILS) has the potential to improve perioperative outcomes, including less postoperative pain, shorter operation time, less blood loss, and shorter hospital stay. However, SILS is technically difficult and needs a longer learning curve. Between April 2016 and September 2019, a total of 198 patients with clinical stage I/II right colon cancer underwent curative resection. In the case of the SILS approach, an organ retractor was usually used to overcome SILS-specific restrictions. The patients were divided into two groups by surgical approach: the SILS with organ retractor group (SILS-O, n = 33) and the conventional laparoscopic surgery group (LAC, n = 165). Clinical T status was significantly higher in the LAC group (p = 0.016). Operation time was shorter and blood loss was lower in the SILS-O group compared to the LAC group (117 vs. 197 min, p = 0.027; 10 vs. 25 mL, p = 0.024, respectively). In the SILS-O group, surgical outcomes including operation time, blood loss, number of retrieved lymph nodes, and postoperative complications were not significantly different between those performed by experts and by non-experts. Longer operation time (p = 0.041) was significantly associated with complications on univariate and multivariate analyses (odds ratio 2.514, 95%CI 1.047–6.035, p = 0.039). SILS-O was safe and feasible for right colon cancer. There is a potential to shorten the learning curve of SILS using an organ retractor.

Learning curve and surgical outcomes for laparoscopic surgery, including pelvic lymphadenectomy, for early stage endometrial cancer

2019 ◽  
Vol 49 (6) ◽  
pp. 521-524 ◽  
Author(s):  
Shinichi Togami ◽  
Toshihiko Kawamura ◽  
Mika Fukuda ◽  
Shintaro Yanazume ◽  
Masaki Kamio ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Surgical Outcomes ◽  
Early Stage ◽  
Pelvic Lymphadenectomy ◽  
Early Stage Endometrial Cancer

Hand-assisted laparoscopic surgery may be a useful tool for surgeons early in the learning curve performing total abdominal colectomy

2010 ◽  
Vol 12 (3) ◽  
pp. 199-205 ◽  
Author(s):  
E. Ozturk ◽  
R. P. Kiran ◽  
F. Remzi ◽  
D. Geisler ◽  
V. Fazio
Keyword(s):  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Total Abdominal Colectomy

Learning Curve for Single-Port-Access Laparoscopic Surgery in Benign Adnexal Mass

2010 ◽  
Vol 17 (6) ◽  
pp. S148
Author(s):  
Y.H. Kim ◽  
H.H. Chung ◽  
N-H. Park ◽  
Y-S. Song ◽  
S-B. Kang ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Adnexal Mass ◽  
Single Port ◽  
Single Port Access ◽  
Port Access

scholarly journals Must Clinics Replace 2D by 3D Environments for an Efficient Training of Laparoscopic Novices? A Critical Analysis of the Learning Curve for Basic Skills

2022 ◽  
Vol 8 ◽  
Author(s):  
Maik Sahm ◽  
Clara Danzer ◽  
Alexis Leonhard Grimm ◽  
Christian Herrmann ◽  
Rene Mantke
Keyword(s):  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Repeated Measures ◽  
Linear Mixed Model ◽  
Standardized Test ◽  
Operation Time ◽  
Error Rates ◽  
Learning Curves ◽  
Significant Difference ◽  
2D And 3D

Background and AimsPublished studies repeatedly demonstrate an advantage of three-dimensional (3D) laparoscopic surgery over two-dimensional (2D) systems but with quite heterogeneous results. This raises the question whether clinics must replace 2D technologies to ensure effective training of future surgeons.MethodsWe recruited 45 students with no experience in laparoscopic surgery and comparable characteristics in terms of vision and frequency of video game usage. The students were randomly allocated to 3D (n = 23) or 2D (n = 22) groups and performed 10 runs of a laparoscopic “peg transfer” task in the Luebeck Toolbox. A repeated-measures ANOVA for operation times and a generalized linear mixed model for error rates were calculated. The main effects of laparoscopic condition and run, as well as the interaction term between the two, were examined.ResultsNo statistically significant differences in operation times and error rates were observed between 2D and 3D groups (p = 0.10 and p = 0.72, respectively). The learning curve showed a significant reduction in operation time and error rates (both p's < 0.001). No significant interactions between group and run were detected (operation time: p = 0.342, error rates: p = 0.83). With respect to both endpoints studied, the learning curves reached their plateau at the 7th run.ConclusionThe result of our study with laparoscopic novices revealed no significant difference between 2D and 3D technology with respect to performance time and the error rate in a simple standardized test. In the future, surgeons may thus still be trained in both techniques.

Multidimensional analyses of the learning curve for single-incision plus one port laparoscopic surgery for sigmoid colon and upper rectal cancer

2018 ◽  
Vol 117 (7) ◽  
pp. 1386-1393 ◽  
Author(s):  
Junmeng Li ◽  
Yanan Wang ◽  
Dong Liu ◽  
Haipeng Zhou ◽  
Tingyu Mou ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Sigmoid Colon ◽  
Single Incision

Learning curve in human laparoscopic surgery

2006 ◽  
Vol 7 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Udaya Kumar ◽  
Inderbir S. Gill
Keyword(s):  
Laparoscopic Surgery ◽  
Learning Curve

scholarly journals The Learning Curve of Robot-Assisted Laparoscopic Surgery

10.5772/5235 ◽  
2008 ◽  
Author(s):  
E. Olthof ◽  
D. Nio ◽  
W.A. Bemelm
Keyword(s):  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Robot Assisted
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