ArticleSurgical endoscopy2011
Learning curve for standardized laparoscopic surgery for colorectal cancer under supervision: a single-center experience.
Article in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- SAGES evidence-based guidelines for the laparoscopic resection of curable colon and rectal cancer.Surgical endoscopy · 2013Guideline
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- How many years does it take for a general surgeon to gain proficiency in laparoscopic colectomy? a multi-institutional study of a single educational policy in Japan.Surgery today · 2026Article
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- Domains of four-step technique training program for laparoscopic colorectal surgery.Techniques in coloproctology · 2024Article
- Has the open surgical approach in colorectal cancer really become uncommon?World journal of gastrointestinal surgery · 2024Article
- Is non-mentored initiation of laparoscopic colorectal surgery safe? Single surgeon initial experience with the first 40 cases.Frontiers in surgery · 2023Article
- Update on Minimally Invasive Surgical Approaches for Rectal Cancer.Current oncology reports · 2021Review
- Educational system for acquiring appropriate laparoscopic colorectal surgical skills: analysis in a Japanese high-volume cancer center.Surgical endoscopy · 2021Article
- Machine learning-based random forest predicts anastomotic leakage after anterior resection for rectal cancer.Journal of gastrointestinal oncology · 2021Article
- Improved oncologic outcomes with increase of laparoscopic surgery in modified complete mesocolic excision with D3 lymph node dissection for T3/4a colon cancer: results of 1191 consecutive patients during a 10-year period: a retrospective cohort study.International journal of clinical oncology · 2021Article
- Does the Endoscopic Surgical Skill Qualification System improve patients' outcome following laparoscopic surgery for colon cancer? A multicentre, retrospective analysis with propensity score matching.World journal of surgical oncology · 2021Article
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- Training in endocrine surgery.Langenbeck's archives of surgery · 2019Review
- Surgical skills: Can learning curves be computed from recordings of surgical activities?International journal of computer assisted radiology and surgery · 2018Article
- What Is the Influence of Simulation-Based Training Courses, the Learning Curve, Supervision, and Surgeon Volume on the Outcome in Hernia Repair?-A Systematic Review.Frontiers in surgery · 2018Article
- Laparoscopic lateral pelvic lymph node dissection is achievable and offers advantages as a minimally invasive surgery over the open approach.Surgical endoscopy · 2016Article
- Prognostic Impact of Distribution of Lymph Node Metastases in Stage III Colon Cancer.World journal of surgery · 2015Article
- Intra-operative double-stapled colorectal or coloanal anastomotic complications of laparoscopic low anterior resection for rectal cancer: double-stapled anastomotic complication could result in persistent anastomotic leakage.Surgical endoscopy · 2015Article
- Laparoscopic colorectal surgery in learning curve: Role of implementation of a standardized technique and recovery protocol. A cohort study.Annals of medicine and surgery (2012) · 2015Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic resection for colorectal cancer is increasingly being performed worldwide. Although learning standardized procedures under the supervision of an experienced surgeon may be effective, there is currently no information on the learning curve under such circumstances. This single-center study aimed to evaluate the learning curve for laparoscopic resection for colorectal cancer of one surgical fellow with no previous experience with laparoscopic colectomy.
methodsData were analyzed for 108 consecutive patients who underwent laparoscopic resection for colorectal cancer between July 2007 and October 2009. Surgery was performed by a single fellow with no prior experience with laparoscopic colorectal resection. The learning effect was evaluated by dividing the patients into two groups: group 1 consisted of the first 50 patients and group 2 included the last 58 patients. Short-term outcomes were compared between groups.
resultsMore complex procedures were performed more frequently in group 2 than in group 1 (p=0.0086). A significantly greater percentage of cases was completed by the trainee in group 2 than in group 1 (91% vs. 68%; p=0.0030) and were performed independent of the supervisor (81% vs. 38%; p<0.0001). All procedures after the 65th case were completed by the trainee. Mean number of lymph nodes harvested (15 vs. 16), conversion to open surgery (0% vs. 2%), and postoperative complications (4% vs. 12%) did not differ significantly between groups. There were no intraoperative complications or mortality. Operating time for sigmoidectomy/high anterior resection reached a steady state after 35 cases.
conclusionsThe present study shows that training in laparoscopic surgery for colorectal cancer under the supervision of an experienced surgeon can be performed safely without jeopardizing the short-term outcomes. More complex procedures were performed successfully by the trainee during the later period, even though he was more independent of the supervisor.
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