ArticleSurgical endoscopy2019
True learning curve of laparoscopic spleen-preserving distal pancreatectomy with splenic vessel preservation.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Learning curves in minimally invasive pancreatic surgery: a systematic review.Langenbeck's archives of surgery · 2022Pooled it
- Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study.Journal of clinical medicine · 2023Article
- The learning curve for robot-assisted distal pancreatectomy: a single-center experience of 301 cases.Journal of pancreatology · 2022Article
- Short-Term Outcomes of the Tail-First Approach in Laparoscopic Spleen-Preserving Distal Pancreatectomy: a Single Center Experience.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- Implementation and training with laparoscopic distal pancreatectomy: 23-year experience from a high-volume center.Surgical endoscopy · 2022Article
- Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results.Przeglad gastroenterologiczny · 2022Review
- The use of selective splenic vascular control in laparoscopic splenic vessels and spleen preservation distal pancreatectomy.Gland surgery · 2021Article
- "Kimura-first" strategy for robotic spleen-preserving distal pancreatectomy: experiences from 61 consecutive cases in a single institution.Gland surgery · 2021Article
- Revisiting the potential advantage of robotic surgical system in spleen-preserving distal pancreatectomy over conventional laparoscopic approach.Annals of translational medicine · 2020Article
- Precision Technique for Splenectomy Limits Mouse Stress Responses for Accurate and Realistic Measurements for Investigating Inflammation and Immunity.Bio-protocol · 2019Article
- Warshaw Technique in Laparoscopic Spleen-Preserving Distal Pancreatectomy: Surgical Strategy and Late Outcomes of Splenic Preservation.BioMed research international · 2019Article
- Spleen-preserving distal pancreatectomy with splenic vessel preservation: challenges in measuring the learning curve.Laparoscopic surgery · 2018Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic distal pancreatectomy (LDP) is generally the treatment of choice for diseases of the pancreatic body and tail. Most surgeons prefer the spleen- and splenic vessel-preserving technique (SPVP-LDP) in benign/borderline pancreatic disease because complications of splenic infarction and gastric varices can arise after Warshaw technique. This study was aimed to determine the true learning curve of the SPVP-LDP procedure not LDP including Warshaw technique.
methodsData were collected retrospectively from all patients who underwent a LDP between June 2007 and April 2017 at Gangnam Severance Hospital. We used cumulative sum control chart (CUSUM) analysis to assess the learning curve for the SPVP-LDP technique.
resultsEight-three patients were performed LDP and we excluded patients who underwent robotic approach (N = 10) and open conversion DP (N = 8). Patients who underwent SPVP-LDP procedures were categorized into Group 1 (primary end-point). Those who underwent LDP procedures with splenectomy and the Warshaw technique were categorized into Group 2. We found that the 16th case was the cutoff point and the mean length of hospital stay was 13.0 days in the first period and 8.7 days in the second period (p = < 0.001).
conclusionsThese results indicated that the frequency of SPVP-LDPs had increased and that technological progress had been made over time. The true learning curve for SPVP-LDP was indicated as 16 cases in a group of surgeons with no experience of laparoscopic pancreatic surgery.
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