Pancreaticoduodenectomy
Conditions
Keywords
robotic pancreaticoduodenctomy, learning curve
Brief summary
A few reports were focused on the RPD learning curve for surgeons with extensive experience in LPD. Therefore, this study aimed to investigate the number of cases required for such surgeons to overcome the learning curve for RPD and to analyze the impact of different phases of the learning curve on perioperative outcomes.
Detailed description
With the development of robotic surgery systems, their unique advantages over traditional laparoscopic surgery systems, such as a three-dimensional 10-fold magnified view, seven degrees of freedom for flexible wrist movements, tremor filtering, and good ergonomic design, have significantly improved the precision and quality of surgery. The literature has reported that, compared with the laparoscopic surgery system, the robotic surgery system can reduce intraoperative blood loss and the conversion rate to laparotomy, in addition to the dissection of more lymph nodes. Therefore, robotic surgery has become increasingly popular. As the economy develops and surgeons gain more experience in LPD, many are shifting their focus to robotic pancreatoduodenectomy after mastering laparoscopic techniques. There are a few reports on the RPD learning curve for surgeons with extensive experience in LPD. Therefore, this study aimed to investigate the number of cases required for such surgeons to overcome the learning curve for RPD and to analyze the impact of different phases of the learning curve on perioperative outcomes.
Interventions
Different phases of the learning curve of RPD (learning phase or proficiency phase)
Sponsors
Study design
Eligibility
Inclusion criteria
patients who received robotic pancreaticoduodenectomy
Exclusion criteria
patients who did not receive robotic pancreaticoduodenectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative operation time | the data was recorded and collected at the end of the surgery | Intraoperative operation time, defined as the duration from the skin incision to abdominal closure |
| Intraoperative blood loss | the data was recorded and collected at the end of the surgery | Intraoperative blood loss |
| Conversion to laparotomy | The data was recorded and collected at the end of the surgery | Conversion to laparotomy |
| Postoperative complications | up to 3 months after surgery | Postoperative pancreatic fistula; hemorrhage, abdominal infection, reoperation |
Countries
China