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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 163 - 171 (9page)
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Purpose: This study sought to delineate the learning curve (LC) for laparoscopic appendectomy (LA) in surgical residency according to seniority and experience. Methods: Between October 2015 and November 2016, 150 patients underwent LA performed by one of 3 residents (who were in their first [A], second [B], or third [C] year of training) under supervision. The patients were nonrandomly assigned to each resident. Data from a prospectively collected database were reviewed and analyzed retrospectively. Perioperative outcomes including operation time, complications, and conversion were compared among the 3 residents. The LC was evaluated using the moving average method and cumulative sum control chart (CUSUM) for operation time and surgical completion. Results: Baseline characteristics and perioperative outcomes were similar among the 3 groups except for age and location of the appendix. The operation time did not vary among the 3 residents (43.9, 45.3, and 48.4 minutes for A, B, and C, respectively; P=0.392). The moving average method for operation time showed a decreasing tendency for all residents. CUSUM results for operation time revealed peak points achieved at the 24th, 18th, and 31st cases for residents A, B, and C, respectively. In terms of surgical failure, residents A, B, and C reached steady states after their 35th, 11th, and 16th cases, respectively. Perforation of the appendix base was the only risk factor for surgical failure. Conclusion: The resident LC for LA was 11 to 35 cases according to multidimensional statistical analyses. The accumulation of surgical experience among residents might influence the LC for surgical completion but not that for operation time.
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참고문헌 (32)
참고문헌 신청
Statistics Korea / The top 20 surgeries in 2015
Neal GE / 1994 / Experience with laparoscopic and open appendectomies in a surgical residency program / Surg Laparosc Endosc 4:272~276
Duff SE / 2000 / Laparoscopic appendicectomy : safe and useful for training / Ann R Coll Surg Engl 82:388~391
Noble H / 2003 / Who is doing laparoscopic appendicectomies and who taught them? / Ann R Coll Surg Engl 85:331~333
Chiu CC / 2006 / Role of appendectomy in laparoscopic training / J Laparoendosc Adv Surg Tech A 16:113~118
Neal GE / 1994 / Experience with laparoscopic and open appendectomies in a surgical residency program / Surg Laparosc Endosc 4:272~276
Duff SE / 2000 / Laparoscopic appendicectomy : safe and useful for training / Ann R Coll Surg Engl 82:388~391
Noble H / 2003 / Who is doing laparoscopic appendicectomies and who taught them? / Ann R Coll Surg Engl 85:331~333
Chiu CC / 2006 / Role of appendectomy in laparoscopic training / J Laparoendosc Adv Surg Tech A 16:113~118
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