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Total laparoscopic pancreaticoduodenectomy in patients with periampullary tumors: a learning curve analysis

DC Field Value Language
dc.contributor.author강창무-
dc.contributor.author이우정-
dc.contributor.author황호경-
dc.contributor.author최문석-
dc.date.accessioned2021-09-29T01:03:54Z-
dc.date.available2021-09-29T01:03:54Z-
dc.date.issued2021-06-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/184173-
dc.description.abstractBackground: With continued technical advances in surgical instruments and growing expertise, many surgeons have safely performed laparoscopic pylorus-preserving pancreaticoduodenectomies (LPDs) with good results, and the laparoscopic approach is being performed more frequently. However, this complex procedure requires a relatively long training period to ensure technical competence. The present study aimed to analyze the learning curve for LPD. Methods: From September 2012 to May 2019, LPDs were performed for 171 patients at the Yonsei University Severance Hospital by a single surgeon. We retrospectively analyzed the demographic and surgical outcomes. The learning curve for LPD was evaluated using both the cumulative sum (CUSUM) and risk-adjusted CUSUM (RA-CUSUM) methods. All variables among the learning curve phases were compared. Results: Based on the CUSUM and the RA-CUSUM analyses, the learning curve for LPD was grouped into three phases: phase I was the initial learning period (cases 1-40), phase II represented the technical competence period (cases 41-100), and phase III was regarded as the challenging period (cases 101-171). Conclusions: According to the learning curve analysis, 40 cases are required to achieve technical competence in LPD and 100 cases are required to address highly challenging cases.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleTotal laparoscopic pancreaticoduodenectomy in patients with periampullary tumors: a learning curve analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorMunseok Choi-
dc.contributor.googleauthorHo Kyoung Hwang-
dc.contributor.googleauthorWoo Jung Lee-
dc.contributor.googleauthorChang Moo Kang-
dc.identifier.doi10.1007/s00464-020-07684-4-
dc.contributor.localIdA00088-
dc.contributor.localIdA02993-
dc.contributor.localIdA04497-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid32495184-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00464-020-07684-4-
dc.subject.keywordLaparoscopy-
dc.subject.keywordLearning curve-
dc.subject.keywordPancreaticoduodenectomy-
dc.contributor.alternativeNameKang, Chang Moo-
dc.contributor.affiliatedAuthor강창무-
dc.contributor.affiliatedAuthor이우정-
dc.contributor.affiliatedAuthor황호경-
dc.citation.volume35-
dc.citation.number6-
dc.citation.startPage2636-
dc.citation.endPage2644-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.35(6) : 2636-2644, 2021-06-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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