ArticleSurgical endoscopy2021
Total laparoscopic pancreaticoduodenectomy in patients with periampullary tumors: a learning curve analysis.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Learning curves in minimally invasive pancreatic surgery: a systematic review.Langenbeck's archives of surgery · 2022Pooled it
- Institutional learning curve for robotic pancreatoduodenectomy: a consecutive 100-case analysis.Surgical endoscopy · 2026Article
- Does minimally invasive pylorus-preserving pancreaticoduodenectomy (MI-PPPD) triumph over open pylorus-preserving pancreaticoduodenectomy (O-PPPD)? A systematic review and meta-analysis.International journal of surgery (London, England) · 2026Article
- Minimally Invasive Pancreatoduodenectomy for Pancreatic Cancer: Current Perspectives and Future Directions.Cancers · 2026Review
- The learning curve of robotic cardiac surgery: a scoping review.Journal of robotic surgery · 2025Article
- Evaluating the surgical and oncological outcomes of hepatic artery variations in minimally invasive pancreaticoduodenectomy: insights from 2023 data at a high-volume pancreatic center.World journal of surgical oncology · 2025Article
- Minimally invasive pancreatoduodenectomy with combined venous vascular resection: A comparative analysis with open approach.Annals of hepato-biliary-pancreatic surgery · 2024Article
- Perioperative outcomes of robot-assisted pancreatoduodenectomy (PD) and totally laparoscopic PD after overcoming learning curves with comparison of oncologic outcomes between open PD and minimally invasive PD.Annals of hepato-biliary-pancreatic surgery · 2024Article
- Learning curve of robotic pancreatoduodenectomy by a single surgeon with extensive laparoscopic pancreatoduodenectomy experience.Journal of robotic surgery · 2024Article
- Analysis of the learning curve for laparoscopic pancreaticoduodenectomy based on a single surgeon's experience: a retrospective observational study.Annals of surgical treatment and research · 2024Article
- Laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy for carcinoma of the ampulla of Vater in a medium-volume center: a propensity score matching analysis.The Journal of international medical research · 2023Article
- Risk-Adjusted Assessment of the Learning Curve for Pure Laparoscopic Donor Hepatectomy for Adult Recipients.World journal of surgery · 2023Article
- A duct-to-mucosa pancreaticojejunostomy for small main pancreatic duct and soft pancreas in minimally invasive pancreaticoduodenectomy.Surgical endoscopy · 2023Article
- First assistant experience in total laparoscopic pancreaticoduodenectomy: accelerating the learning curve for an operator.BMC surgery · 2023Article
- Single-port robot-assisted perineal radical prostatectomy with the da Vinci XI system: initial experience and learning curve using the cumulative sum method.World journal of surgical oncology · 2023Article
- Postoperative complications and short-term prognosis of laparoscopic pancreaticoduodenectomy vs. open pancreaticoduodenectomy for treating pancreatic ductal adenocarcinoma: a retrospective cohort study.World journal of surgical oncology · 2023Article
- Total laparoscopic versus robotic-assisted laparoscopic pancreaticoduodenectomy: which one is better?Surgical endoscopy · 2022Article
- The long-term outcomes of laparoscopic versus open pancreatoduodenectomy for ampullary carcinoma showed similar survival: a case-matched comparative study.Surgical endoscopy · 2022Article
- Minimally invasive (laparoscopic and robot-assisted) versus open approach for central pancreatectomies: a single-center experience.Surgical endoscopy · 2022Article
- Laparoscopic pancreaticoduodenectomy reduces incidence of clinically relevant postoperative pancreatic fistula in soft pancreas with a smaller than 2 mm pancreatic duct.Surgical endoscopy · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith continued technical advances in surgical instruments and growing expertise, many surgeons have safely performed laparoscopic pylorus-preserving pancreaticoduodenectomies (LPDs) with good results, and the laparoscopic approach is being performed more frequently. However, this complex procedure requires a relatively long training period to ensure technical competence. The present study aimed to analyze the learning curve for LPD.
methodsFrom September 2012 to May 2019, LPDs were performed for 171 patients at the Yonsei University Severance Hospital by a single surgeon. We retrospectively analyzed the demographic and surgical outcomes. The learning curve for LPD was evaluated using both the cumulative sum (CUSUM) and risk-adjusted CUSUM (RA-CUSUM) methods. All variables among the learning curve phases were compared.
resultsBased on the CUSUM and the RA-CUSUM analyses, the learning curve for LPD was grouped into three phases: phase I was the initial learning period (cases 1-40), phase II represented the technical competence period (cases 41-100), and phase III was regarded as the challenging period (cases 101-171).
conclusionsAccording to the learning curve analysis, 40 cases are required to achieve technical competence in LPD and 100 cases are required to address highly challenging cases.
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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.