ArticleAnnals of gastroenterological surgery2020
Clinical impact of Endoscopic Surgical Skill Qualification System (ESSQS) by Japan Society for Endoscopic Surgery (JSES) for laparoscopic distal gastrectomy and low anterior resection based on the National Clinical Database (NCD) registry.
Article in Annals of gastroenterological surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
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Who cites it
52 citing papers in PubMed, 1 synthesis or guideline pooled it.
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- Preoperative mechanical bowel preparation using conventional versus hyperosmolar polyethylene glycol-electrolyte lavage solution before laparoscopic resection for colorectal cancer (TLUMP test): a phase III, multicenter randomized controlled non-inferiority trial.Journal of gastroenterology · 2023Trial
- Intraoperative real-time recognition of dissectible layers by artificial intelligence is useful in laparoscopic inguinal hernia repair.Surgical endoscopy · 2026Article
- Learning curve-associated safety in minimally invasive esophagectomy using a time-based supervisory takeover strategy: a propensity score-weighted analysis of 603 VATS procedures.Surgical endoscopy · 2026Article
- AI-Assisted Recognition of Actual Ureteral and Pancreatic Injuries in Laparoscopic Colorectal Surgery: A Randomized Video Review Study.Annals of gastroenterological surgery · 2026Article
- Surgeon workload in supervised robotic colorectal surgery: a surgical task load index study.Surgical endoscopy · 2026Article
- Factors influencing surgical difficulty in minimally invasive right hemicolectomy.Surgery today · 2026Article
- Short-Term Outcomes of Robot-Assisted Versus Laparoscopic Colectomy for Colon Cancer: A Propensity Score-Matched Analysis.Annals of gastroenterological surgery · 2026Article
- Laparoscopic-first approach for treating a small bowel injury in a patient stabilized after initial hemodynamic shock: a case report and video.International journal of surgery case reports · 2026Article
- Assessing the minimal invasiveness of pure single-incision da Vinci SP surgery for right-sided colon cancer: comparative analysis with the da Vinci Xi system using PSM and IPTW.Surgical endoscopy · 2026Article
- Article
- Short-term clinical outcomes and cost analysis of intracorporeal anastomosis with laparoscopic and robotic staplers during robot-assisted right colon resection: a single-center retrospective study.Journal of robotic surgery · 2025Article
- Automatic surgical skill assessment using a task classification model in laparoscopic sigmoidectomy.Surgical endoscopy · 2025Article
- Comparative analysis of postoperative inflammation and pain: robot-assisted versus single-incision laparoscopic surgery for right-sided colon cancer.Surgical endoscopy · 2025Article
- Regional and patient characteristic disparities in the outcomes of minimally invasive surgery for colorectal cancer in Japan.Annals of gastroenterological surgery · 2025Article
- Short-term outcomes of intracorporeal anastomosis in laparoscopic colectomy for colon cancer: A nationwide, multi-institutional cohort study in Japan (ICAN study).Annals of gastroenterological surgery · 2025Article
- Possibly more favorable short-term outcomes with minimally invasive surgery than with open surgery in total gastrectomy for locally advanced gastric cancer: A single high-volume center study.Annals of gastroenterological surgery · 2025Article
- A multicentre prospective single-arm clinical trial to evaluate the treatment outcomes of prophylactic laparoscopic lateral pelvic lymph node dissection for advanced lower rectal cancer.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Observational
- Artificial intelligence-enhanced navigation for nerve recognition and surgical education in laparoscopic colorectal surgery.Surgical endoscopy · 2025Article
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Authors and funding
19 authors.
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No grant is acknowledged in the PubMed record.
Abstract
aimThis study aimed to evaluate the association between surgeons certified via the Endoscopic Surgical Skill Qualification System (ESSQS) of the Japan Society for Endoscopic Surgery (JSES) and surgical outcomes of laparoscopic distal gastrectomy (LDG) and laparoscopic low anterior resection (LLAR).
methodsJapanese National Clinical Database data on the patients undergoing LDG and LLAR between 2014-2016 were analyzed retrospectively. The proportion of cases performed by ESSQS-certified surgeons was calculated for each procedure, and clinicopathological factors with or without participation of ESSQS-certified surgeons as an operator were assessed. Then, effects of operations performed by ESSQS-certified surgeons on short-term patient outcomes were analyzed using generalized estimating equations logistic regression analysis.
resultsThere were 110 610 and 65 717 patients who underwent LDG and LLAR, respectively. The operations performed by ESSQS-certified surgeons in each procedure totaled 28 467 (35.3%) and 12 866 (31.2%), respectively. A multivariable logistic regression model showed that odds ratios of mortality for LDG and LLAR performed by ESSQS-certified surgeons were 0.774 (95% CI, 0.566-1.060,
conclusionsESSQS certification did not affect postoperative mortality following LDG and LLAR, but annual experience of laparoscopic surgery was associated with it. ESSQS certification may contribute to favorable outcomes regarding anastomotic leakage following LDG and LLAR.
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