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Robotic thyroidectomy learning curve for beginning surgeons with little or no experience of endoscopic surgery

Authors
 Jae Hyun Park  ;  Jandee Lee  ;  Woong Youn Chung  ;  Seong Joon Kang  ;  Keum Seok Bae  ;  Kee Hyun Nam  ;  Jong Ju Jeong  ;  Sang Wook Kang  ;  Ha Yan Kim  ;  Nor Azham Hakim 
Citation
 Head & Neck, Vol.37(12) : 1705-1711, 2015 
Journal Title
 Head & Neck 
ISSN
 1043-3074 
Issue Date
2015
Abstract
Background : This study assessed the results of robotic thyroidectomy by fellowship-trained surgeons in their initial independent practice, and whether standard fellowship training for robotic surgery shortens the learning curve. Methods : This prospective cohort study evaluated outcomes in 125 patients who underwent robotic thyroidectomy using gasless transaxillary single-incision technique by 2 recently graduated fellowship-trained surgeons. Learning curves were analyzed by operation time, with proficiency defined as the point at which the slope of the time curve became less steep. Results : Of the 125 patients, 113 underwent robotic less-than-total thyroidectomy, 9 underwent robotic total thyroidectomy and 3 underwent robotic total thyroidectomy with modified radical neck dissection. Mean total times for these 3 operations were 100.8 ± 20.6 minutes, 134.2 ± 38.7 minutes, and 284.7 ± 60.4 minutes, respectively. For both surgeons, the operation times gradually decreased, reaching a plateau after 20 robotic less-than-total thyroidectomies. Conclusion : The surgical learning curve for robotic thyroidectomy performed by recently graduated fellowship-trained surgeons with little or no experience in endoscopic surgery showed excellent results compared with those in a large series of more experienced surgeons.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/hed.23824/abstract
DOI
10.1002/hed.23824
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
강상욱(Kang, Sang Wook) ORCID logo https://orcid.org/0000-0001-5355-833X
남기현(Nam, Kee Hyun) ORCID logo https://orcid.org/0000-0002-6852-1190
이잔디(Lee, Jan Dee) ORCID logo https://orcid.org/0000-0003-4090-0049
정웅윤(Chung, Woung Youn)
정종주(Jeong, Jong Ju) ORCID logo https://orcid.org/0000-0002-4155-6035
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139134
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