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Impact of laparoscopic surgical experience on the learning curve of robotic rectal cancer surgery

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dc.contributor.author김남규-
dc.contributor.author민병소-
dc.contributor.author백승혁-
dc.contributor.author이강영-
dc.contributor.author허혁-
dc.date.accessioned2021-01-19T08:11:01Z-
dc.date.available2021-01-19T08:11:01Z-
dc.date.issued2020-10-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/181499-
dc.description.abstractBackground: Robotic surgery has advantages in terms of the ergonomic design and expectations of shortening the learning curve, which may reduce the number of patients with adverse outcomes during a surgeon's learning period. We investigated the differences in the learning curves of robotic surgery and clinical outcomes for rectal cancer among surgeons with differences in their experiences of laparoscopic rectal cancer surgery. Methods: Patients who underwent robotic surgery for colorectal cancer were reviewed retrospectively. Patients were divided into five groups by surgeons, and their clinical outcomes were analyzed. The learning curve of each surgeon with different volumes of laparoscopic experience was analyzed using the cumulative sum technique (CUSUM) for operation times, surgical failure (open conversion or anastomosis-related complications), and local failure (positive resection margins or local recurrence within 1 year). Results: A total of 662 patients who underwent robotic low anterior resection (LAR) for rectal cancer were included in the analysis. Number of laparoscopic LAR cases performed by surgeon A, B, C, D, and E prior to their first case of robotic surgery were 403, 40, 15, 5, and 0 cases, respectively. Based on CUSUM for operation time, surgeon A, B, C, D, and E's learning curve periods were 110, 39, 114, 55, and 23 cases, respectively. There were no significant differences in the surgical and oncological outcomes after robotic LAR among the surgeons. Conclusions: This study demonstrated the limited impact of laparoscopic surgical experience on the learning curve of robotic rectal cancer surgery, which was greater than previously reported curves.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleImpact of laparoscopic surgical experience on the learning curve of robotic rectal cancer surgery-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorGyoung Tae Noh-
dc.contributor.googleauthorMyunghyun Han-
dc.contributor.googleauthorHyuk Hur-
dc.contributor.googleauthorSeung Hyuk Baik-
dc.contributor.googleauthorKang Young Lee-
dc.contributor.googleauthorNam Kyu Kim-
dc.contributor.googleauthorByung Soh Min-
dc.identifier.doi10.1007/s00464-020-08059-5-
dc.contributor.localIdA00353-
dc.contributor.localIdA01402-
dc.contributor.localIdA01402-
dc.contributor.localIdA01827-
dc.contributor.localIdA01827-
dc.contributor.localIdA02640-
dc.contributor.localIdA02640-
dc.contributor.localIdA04373-
dc.contributor.localIdA04373-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid33030590-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00464-020-08059-5-
dc.subject.keywordLaparoscopic experience-
dc.subject.keywordLearning curve-
dc.subject.keywordRectal cancer-
dc.subject.keywordRobotic surgery-
dc.contributor.alternativeNameKim, Nam Kyu-
dc.contributor.affiliatedAuthor김남규-
dc.contributor.affiliatedAuthor민병소-
dc.contributor.affiliatedAuthor민병소-
dc.contributor.affiliatedAuthor백승혁-
dc.contributor.affiliatedAuthor백승혁-
dc.contributor.affiliatedAuthor이강영-
dc.contributor.affiliatedAuthor이강영-
dc.contributor.affiliatedAuthor허혁-
dc.contributor.affiliatedAuthor허혁-
dc.citation.volume1-
dc.citation.startPage1-
dc.citation.endPage10-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.1 : 1-10, 2020-10-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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