SynthesisWorld journal of surgery2019
Learning Curve in Laparoscopic Liver Resection, Educational Value of Simulation and Training Programmes: A Systematic Review.
Synthesis in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Learning curve of laparoscopic inguinal hernia repair: systematic review, meta-analysis, and meta-regression.Surgical endoscopy · 2023Pooled it
- Healthcare Utilization, Costs, and Cost-Effectiveness of Patients Undergoing Laparoscopic and Open Hemihepatectomy: A Secondary Analysis of the ORANGE II PLUS Randomized Controlled, Phase 3, Superiority Trial.Annals of surgical oncology · 2026Trial
- Impact of laparoscopic training course for surgical trainees based on an evidence-based pedagogical framework: randomized trial.BJS open · 2024Trial
- Comparative study of three-port vs four-port laparoscopic cholecystectomy in a cohort study: a surgical task load survey.Updates in surgery · 2026Article
- Global research trends in robot-assisted hepatectomy for hepatocellular carcinoma: a visualized bibliometric analysis.Journal of robotic surgery · 2026Article
- Single-port versus multi-port laparoscopic left lateral sectionectomy using articulating instruments: a comparative study.Langenbeck's archives of surgery · 2026Article
- Laparoscopic vs. open liver resection for malignancies involving segment 7: short-term outcomes and learning curve analysis using propensity score matching.Surgical endoscopy · 2026Article
- A Comparative Study of Laparoscopic Skills Between Novices and Experts: How to Steepen the Learning Curve.Cureus · 2024Article
- Laparoscopic versus open hepatic resection in patients ≥75 years old: A NSQIP analysis evaluating 2674 patients.Journal of surgical oncology · 2024Article
- Benefits of laparoscopic liver resection for liver tumors in obese patients: a meta-analysis.Frontiers in oncology · 2024Review
- Minimizing blood loss and transfusion rate in laparoscopic liver surgery: a review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Review
- Pure laparoscopic vs. hand-assisted liver surgery for segments 7 and 8: propensity score matching analysis.Surgical endoscopy · 2022Article
- Standardized single-incision plus one-port laparoscopic left lateral sectionectomy: a safe alternative to the conventional procedure.Langenbeck's archives of surgery · 2022Article
- A Retrospective, Single-Centre Study on the Learning Curve for Liver Tumor Open Resection in Patients with Hepatocellular Cancers and Intrahepatic Cholagangiocarcinomas.International journal of environmental research and public health · 2022Article
- Development of a novel educational tool to assess skills in laparoscopic liver surgery using the Delphi methodology: the laparoscopic liver skills scale (LLSS).Surgical endoscopy · 2022Article
- Ten years of IRCAD, Barretos, SP, Brazil.Acta cirurgica brasileira · 2022Article
- The training of wrist arthroscopy.Frontiers in medicine · 2022Review
- Trends and Innovations of Simulation for Twenty First Century Medical Education.Frontiers in public health · 2022Review
- The learning curve of laparoscopic liver resection utilising a difficulty score.Radiology and oncology · 2021Article
- [Minimally invasive liver surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe laparoscopic approach is widely accepted as the procedure of choice for abdominal surgery. However, laparoscopic liver resection (LLR) has advanced slowly due to the significant learning curve (LC), and only few publications have dealt with advanced training in LLR.
methodsTwo reviewers conducted systematic research through MEDLINE and EMBASE with combinations of the following keywords: (learning curve OR teaching OR training OR simulation OR education) AND (liver OR hepatic) AND (laparoscopic OR laparoscopy). Robotic-assisted, hand-assisted and hybrid LLRs were excluded.
resultsNineteen studies were retrieved. Overall, the level of evidence was low. Thirteen articles assessed the LC during real-life LLR, and six articles focussed on simulation and training programmes in LLR. The LC in minor LLR comprised 60 cases overall, and 15 cases for standardised left lateral sectionectomy. For major LLR (MLLR), the LC was 50 cases for most studies, but was reported to be 15-20 cases in more recent studies, provided MLLR is performed progressively in selected patients. However, there was heterogeneity in the literature regarding the number of minor LLRs required before MLLR, with 60 minor LLRs reported as the minimum. Six studies showed a potential benefit of simulation and training programmes in this field. The gradual implementation of LLR combined with simulation-based training programmes could reduce the clinical impact of LC.
conclusionsThe LC in LLR is a long process, and MLLR should be gradually implemented under the supervision of experienced surgeons. Training outside the operating room may reduce the LC in real-life situations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.