Minimally Invasive Distal Pancreatectomy: A Single-Center Analysis of Outcome With Experience and Systematic Review of the Literature

被引：18
|
作者：
Barrie, Jenifer [1 ]
Ammori, Basil J. [2 ]
机构：
[1] Pennine Acute Hosp NHS Trust, Oldham, England
[2] Salford Royal Hosp, Dept Surg, Manchester M6 8HD, Lancs, England
来源：
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2015年 / 25卷 / 04期
关键词：
laparoscopic distal pancreatectomy; learning curve; proficiency; LEARNING-CURVE; COLORECTAL-CANCER; ACADEMIC INSTITUTION; CRITICAL PATHWAY; CLINICAL-TRIAL; CLASICC TRIAL; COLON-CANCER; OPEN SURGERY; FOLLOW-UP; PANCREATICODUODENECTOMY;
D O I：
10.1097/SLE.0000000000000185
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background:The aim of this study is to analyze the learning curve for laparoscopic distal pancreatectomy (LDP) in our series and review the literature on learning curves for LDP and robotic distal pancreatectomy (RDP).Methods:Learning curve analysis was performed by split group and cumulative sum (CUSUM) analysis of blood loss, operative time, and length of stay. The systematic review identified studies analyzing changes in outcome with experience.Results:A total of 25 resections were performed. CUSUM analysis of operative time found learning curves of 10 cases for LDP and splenectomy and 11 for LDP with splenic preservation. CUSUM analysis of blood loss showed approximately 6 cases. In the literature, values of 10 cases of LDP and approximately 7 RDP were found.Conclusions:Low numbers of LDP are required to reach proficiency in the hands of expert laparoscopic surgeons. Our results correspond with numbers quoted in the literature.
引用
收藏
页码：297 / 302
页数：6
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