Learning curve of laparoscopy-assisted gastrectomy using a standardized surgical technique and an established educational system.
Scand J Surg
; 100(2): 86-91, 2011.
Article
em En
| MEDLINE
| ID: mdl-21737383
ABSTRACT
BACKGROUND AND AIMS:
The learning curve of a trainee for laparoscopy-assisted gastrectomy in a high volume center, in which an educational system and a standardized laparoscopic procedure are already established, remains unclear. MATERIAL ANDMETHODS:
The early surgical outcomes of the patients of two trainees were investigated. Both trainees followed a training program where they performed at least 20 cases being the camera assistant, 20 cases being the first assistant, before performing the surgery as an operator.RESULTS:
The average operation time, intraoperative bleeding, the number of retrieved lymph nodes, and morbidity rate were 240.2 min, 45.7 ml, 35.4, and 13.0%, respectively. There was no learning curve effect observed except with the operation time of one trainee.CONCLUSIONS:
In a high volume center with an established educational system, trainees could perform laparoscopy-assisted gastrectomy safely, although there might be a -learning curve effect in operation time and the surgeries took longer operation time in trainee's initial cases.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Gástricas
/
Laparoscopia
/
Curva de Aprendizado
/
Gastrectomia
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Scand J Surg
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Japão