Cited 78 times in
Comprehensive Learning Curve of Robotic Surgery: Discovery From a Multicenter Prospective Trial of Robotic Gastrectomy
DC Field | Value | Language |
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dc.contributor.author | 김형일 | - |
dc.contributor.author | 형우진 | - |
dc.date.accessioned | 2022-11-24T00:45:40Z | - |
dc.date.available | 2022-11-24T00:45:40Z | - |
dc.date.issued | 2021-05 | - |
dc.identifier.issn | 0003-4932 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/190943 | - |
dc.description.abstract | Objective: To evaluate the complication-based learning curve and identify learning-associated complications of robotic gastrectomy. Summary background data: With the increased popularity of robotic surgery, a sound understanding of the learning curve in the surgical outcome of robotic surgery has taken on great importance. However, a multicenter prospective study analyzing learning-associated morbidity has never been conducted in robotic gastrectomy. Methods: Data on 502 robotic gastrectomy cases were prospectively collected from 5 surgeons. Risk-adjusted cumulative sum analysis was applied to visualize the learning curve of robotic gastrectomy on operation time and complications. Results: Twenty-five cases, on average, were needed to overcome complications and operation time-learning curve sufficiently to gain proficiency in 3 surgeons. An additional 23 cases were needed to cross the transitional phase to progress from proficiency to mastery. The moderate complication rate (CD ≥ grade II) was 20% in phase 1 (cases 1-25), 10% in phase 2 (cases 26-65), 26.1% in phase 3 (cases 66-88), and 6.4% in phase 4 (cases 89-125) (P < 0.001). Among diverse complications, CD ≥ grade II intra-abdominal bleeding (P < 0.001) and abdominal pain (P = 0.01) were identified as major learning-associated morbidities of robotic gastrectomy. Previous experience on laparoscopic surgery and mode of training influenced progression in the learning curve. Conclusions: This is the first study suggesting that technical immaturity substantially affects the surgical outcomes of robotic gastrectomy and that robotic gastrectomy is a complex procedure with a significant learning curve that has implications for physician training and credentialing. Trial registration: ClinicalTrials.gov NCT01309256. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | ANNALS OF SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Education, Medical, Graduate / methods* | - |
dc.subject.MESH | Gastrectomy / education* | - |
dc.subject.MESH | Gastrectomy / methods | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy / education* | - |
dc.subject.MESH | Laparoscopy / methods | - |
dc.subject.MESH | Learning Curve* | - |
dc.subject.MESH | Operative Time | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Robotic Surgical Procedures / education* | - |
dc.subject.MESH | Robotic Surgical Procedures / methods | - |
dc.subject.MESH | Stomach Neoplasms / surgery | - |
dc.subject.MESH | Surgeons / education* | - |
dc.title | Comprehensive Learning Curve of Robotic Surgery: Discovery From a Multicenter Prospective Trial of Robotic Gastrectomy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Min Seo Kim | - |
dc.contributor.googleauthor | Won Jun Kim | - |
dc.contributor.googleauthor | Woo Jin Hyung | - |
dc.contributor.googleauthor | Hyoung-Il Kim | - |
dc.contributor.googleauthor | Sang-Uk Han | - |
dc.contributor.googleauthor | Young-Woo Kim | - |
dc.contributor.googleauthor | Keun Won Ryu | - |
dc.contributor.googleauthor | Sungsoo Park | - |
dc.identifier.doi | 10.1097/SLA.0000000000003583 | - |
dc.contributor.localId | A01154 | - |
dc.contributor.localId | A04382 | - |
dc.relation.journalcode | J00178 | - |
dc.identifier.eissn | 1528-1140 ( | - |
dc.identifier.pmid | 31503017 | - |
dc.identifier.url | https://journals.lww.com/annalsofsurgery/Fulltext/2021/05000/Comprehensive_Learning_Curve_of_Robotic_Surgery_.18.aspx | - |
dc.contributor.alternativeName | Kim, Hyoung Il | - |
dc.contributor.affiliatedAuthor | 김형일 | - |
dc.contributor.affiliatedAuthor | 형우진 | - |
dc.citation.volume | 273 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 949 | - |
dc.citation.endPage | 956 | - |
dc.identifier.bibliographicCitation | ANNALS OF SURGERY, Vol.273(5) : 949-956, 2021-05 | - |
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