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논문 기본 정보

자료유형
학술저널
저자정보
Yoonah Park (Sungkyunkwan University School of Medicine) Yuen Geng Yong (Columbia Hospital) Seong Hyeon Yun (Sungkyunkwan University School of Medicine) Kyung Uk Jung (Sungkyunkwan University School of Medicine) Jung Wook Huh (Sungkyunkwan University School of Medicine) Yong Beom Cho (Sungkyunkwan University School of Medicine) Hee Cheol Kim (Sungkyunkwan University School of Medicine) Woo Yong Lee (Sungkyunkwan University School of Medicine) Ho-Kyung Chun (Sungkyunkwan University School of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.88 No.5
발행연도
2015.4
수록면
269 - 275 (7page)

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초록· 키워드

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Purpose: This study aimed to compare the learning curves and early postoperative outcomes for conventional laparoscopic (CL) and single incision laparoscopic (SIL) right hemicolectomy (RHC).
Methods: This retrospective study included the initial 35 cases in each group. Learning curves were evaluated by the moving average of operative time, mean operative time of every five consecutive cases, and cumulative sum (CUSUM) analysis. The learning phase was considered overcome when the moving average of operative times reached a plateau, and when the mean operative time of every five consecutive cases reached a low point and subsequently did not vary by more than 30 minutes.
Results: Six patients with missing data in the CL RHC group were excluded from the analyses. According to the mean operative time of every five consecutive cases, learning phase of SIL and CL RHC was completed between 26 and 30 cases, and 16 and 20 cases, respectively. Moving average analysis revealed that approximately 31 (SIL) and 25 (CL) cases were needed to complete the learning phase, respectively. CUSUM analysis demonstrated that 10 (SIL) and two (CL) cases were required to reach a steady state of complication-free performance, respectively. Postoperative complications rate was higher in SIL than in CL group, but the difference was not statistically significant (17.1% vs. 3.4%).
Conclusion: The learning phase of SIL RHC is longer than that of CL RHC. Early oncological outcomes of both techniques were comparable. However, SIL RHC had a statistically insignificant higher complication rate than CL RHC during the learning phase.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
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UCI(KEPA) : I410-ECN-0101-2016-514-001396209