ArticleSurgery today2015
Laparoscopic distal pancreatectomy: what factors are related to the learning curve?
Article in Surgery today, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 78 citations in OpenAlex.
- Learning curves in minimally invasive pancreatic surgery: a systematic review.Langenbeck's archives of surgery · 2022Pooled it
- Systematic review and meta-analysis of robotic versus laparoscopic distal pancreatectomy for benign and malignant pancreatic lesions.Surgical endoscopy · 2016Pooled it
- Laparoscopic distal pancreatectomy: many meta-analyses, few certainties.Updates in surgery · 2016Pooled it
- Laparoscopic versus open distal pancreatectomy for ductal adenocarcinoma: a systematic review and meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Pooled it
- Workflow-oriented learning curve analysis of laparoscopic distal pancreatectomy: step-specific associations of operative maturation.BMC surgery · 2026Article
- Application of reinforced U-shaped suture technique in laparoscopic distal pancreatectomy: an analysis of 165 consecutive cases.BMC surgery · 2026Article
- Predictors of achieving a textbook outcome following robotic left-sided pancreatectomy: multicentre analysis.BJS open · 2025Article
- Evaluation of external validity of the distal pancreatectomy fistula risk score (D-FRS) in a high-volume center.Surgical endoscopy · 2025Article
- Learning curve and perioperative outcomes of robotic-assisted distal pancreatectomy: a single-center study.Journal of robotic surgery · 2025Article
- Laparoscopic distal pancreatectomy with pancreatic remnant-gastric coverage: a modified technique to reduce postoperative pancreatic fistula.Surgical endoscopy · 2025Article
- Learning Curves of Minimally Invasive Distal Pancreatectomy in Experienced Pancreatic Centers.JAMA surgery · 2023Article
- Distal pancreatectomy with or without radical approach, vascular resections and splenectomy: Easier does not always mean easy.World journal of gastrointestinal surgery · 2023Review
- 401 consecutive minimally invasive distal pancreatectomies: lessons learned from 20 years of experience.Surgical endoscopy · 2022Article
- Implementation and training with laparoscopic distal pancreatectomy: 23-year experience from a high-volume center.Surgical endoscopy · 2022Article
- Laparoscopic versus open distal pancreatectomy: a single centre propensity score matching analysis.Updates in surgery · 2021Article
- Assessment of difficulty in laparoscopic distal pancreatectomy: A modification of the Japanese difficulty scoring system - A single-center high-volume experience.Journal of hepato-biliary-pancreatic sciences · 2021Article
- The learning curve for the second generation of laparoscopic surgeons: lesson learned from a large series of laparoscopic adrenalectomies.Surgical endoscopy · 2021Observational
- Association between intraoperative and postoperative epidural or intravenous patient-controlled analgesia and pancreatic fistula after distal pancreatectomy.Surgery today · 2021Article
- The Usefulness of a Preoperative Nomogram for Predicting the Probability of Conversion from Laparoscopic to Open Distal Pancreatectomy: A Single-Center Experience.World journal of surgery · 2021Article
- Current statement and safe implementation of minimally invasive surgery in the pancreas.Annals of gastroenterological surgery · 2020Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe factors related to the learning curve for laparoscopic distal pancreatectomy have rarely been evaluated.
methodsA retrospective study of 32 patients who underwent a laparoscopic distal pancreatectomy performed at a high-volume center by a single pancreatic surgeon experienced with laparoscopic surgery was conducted. Pre-, intra- and postoperative data were collected. The primary endpoint was the length of the operation. The secondary endpoints were the conversion and reoperation rates, overall postoperative morbidity and mortality rates, the length of hospital stay and rate of unplanned splenectomy.
resultsThe length of the operation and the cumulative sum of the procedures presented a logarithmic correlation (P = 0.048). The learning curve appeared to have been completed after 17 procedures (P = 0.040). The multivariate analysis confirmed that the completion of the learning curve (CLC) reduced the length of the operation by 18 % (P = 0.009), but extended resection increased the length of the operation (P = 0.023). The conversion and reoperation rates, overall postoperative morbidity and mortality rates and length of the hospital stay were not related to the CLC. Unplanned splenectomy was more frequently performed during the first 17 procedures.
conclusionsThe length of the operation seems to be the main factor related to the CLC for laparoscopic distal pancreatectomy. The learning curve could be considered to be completed after about 17 procedures if performed by surgeons experienced with laparoscopic techniques at high-volume centers.
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