SynthesisANZ journal of surgery2021
Learning curve for laparoscopic cholecystectomy has not been defined: A systematic review.
Synthesis in ANZ journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Trial
- Efficacy of intraoperative intravenous lidocaine infusion on postoperative opioid consumption after laparoscopic cholecystectomy: a randomized controlled trial.Langenbeck's archives of surgery · 2023Trial
- Mapping the learning curve of robotic cholecystectomy: a multi‑surgeon cohort analysis.Surgical endoscopy · 2026Article
- Prevention of bile duct injury - A bird's eye view.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Review
- Pediatric cholecystectomy practices and training: an International Multicenter Survey by the European Union of Medical Specialists (UEMS) Section of Paediatric Surgery.Pediatric surgery international · 2026Article
- Feasibility and learning curve of a standardized laparoscopic cholecystectomy technique using a reusable bipolar device: a risk-adjusted CUSUM analysis of 780 cases operated by surgical trainees.Surgical endoscopy · 2025Article
- Article
- Early learning curve changes in objective performance indicators during robotic cholecystectomy.Frontiers in surgery · 2025Article
- A Comparative Study of Laparoscopic Skills Between Novices and Experts: How to Steepen the Learning Curve.Cureus · 2024Article
- Laparoscopic cholecystectomy performed by a surgical care practitioner: a review of outcomes.Annals of the Royal College of Surgeons of England · 2024Article
- Learning curve of laparoscopic appendectomy in a low-resource setting: a cumulative sum analysis of operative length.Surgical endoscopy · 2024Article
- Assistance by adaptative damping on a complex bimanual task in laparoscopic surgery.International journal of computer assisted radiology and surgery · 2024Article
- Observational
- Unilateral biportal endoscopic spine surgery: a meta-analysis unveiling the learning curve and clinical benefits.Frontiers in surgery · 2024Article
- Evaluating robotic assistance on the learning curve and efficiency of mandibular angle ostectomy: an animal model study.Frontiers in surgery · 2024Article
- Transumbilical laparoscopy for pneumoperitoneum establishment: a comprehensive multicentre evaluation affirming safety, feasibility, and a range of clinical benefits.Frontiers in surgery · 2024Article
- Ergonomic learning curves on gynecological laparoendoscopic single-site (LESS) surgery.BMC surgery · 2023Article
- Learning curve of laparoscopic cholecystectomy: a risk-adjusted cumulative summation (RA-CUSUM) analysis of six general surgery residents.Surgical endoscopy · 2023Article
- The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part I.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- Major iatrogenic bile duct injury during elective cholecystectomy: a Czech population register-based study.Langenbeck's archives of surgery · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic cholecystectomy is one of the most performed surgeries worldwide but its learning curve is still unclear.
methodsA systematic review was conducted according to the 2009 Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Two independent reviewers searched the literature in a systematic manner through online databases, including Medline, Scopus, Embase, and Google Scholar. Human studies investigating the learning curve of laparoscopic cholecystectomy were included. The Newcastle-Ottawa scale for cohort studies and the GRADE scale were used for the quality assessment of the selected articles.
resultsNine cohort studies published between 1991 and 2020 were included. All studies showed a great heterogeneity among the considered variables. Seven articles (77.7%) assessed intraoperative variables only, without considering patient's characteristics, operator's experience, and grade of gallbladder inflammation. Only five articles (55%) provided a precise cut-off value to see proficiency in the learning curve, ranging from 13 to 200 laparoscopic cholecystectomies.
conclusionsThe lack of clear guidelines when evaluating the learning curve in surgery, probably contributed to the divergent data and heterogeneous results among the studies. The development of guidelines for the investigation and reporting of a surgical learning curve would be helpful to obtain more objective and reliable data especially for common operation such as laparoscopic cholecystectomy.
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