지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.102 No.3
- 발행연도
- 2022.3
- 수록면
- 159 - 166 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: We analyzed the learning curve of single-port robotic (SPR)-assisted rectal cancer surgery.
Methods: Fifty-seven consecutive SPR-assisted rectal cancer surgery cases performed by the same surgeon were considered in surgical interventions for rectal cancer. Total operation time (OT), docking time (DT), and surgeon console time (SCT) measured during surgery were used to parametrize the learning curve. The parameters representing the learning curve were evaluated using the cumulative sum (CUSUM).
Results: The mean value of total OT was 241.8 ± 91.7 minutes, the mean value of DT was 20.6 ± 19.1 minutes, and the mean value of SCT was 135.9 ± 66.7 minutes. The learning curve was divided into phase 1 (initial 16 cases), phase 2 (second 16 cases), and phase 3 (subsequent 25 cases). The peak on the CUSUM graph occurred in the 21st case. The longest OT among phases was in phase 2. Complications were most frequent in phase 2. However, complications of Clavien-Dindo (CD) grade IIIb were most frequent in phase 3 with 2 patients. The most common complications were fluid collection and urinary retention (7 patients each). Complications of CD grade IIIb required one stomal revision due to stoma obstruction and one irrigation and loop ileostomy due to anastomosis leakage.
Conclusion: Improvement in surgical performance of SPR assisted rectal cancer operation was achieved after 21 cases. The three phases identified in the cumulative sum analysis showed a significant decrease in operative time after the middle stage of the learning curve without an increase in the complication rate.
Methods: Fifty-seven consecutive SPR-assisted rectal cancer surgery cases performed by the same surgeon were considered in surgical interventions for rectal cancer. Total operation time (OT), docking time (DT), and surgeon console time (SCT) measured during surgery were used to parametrize the learning curve. The parameters representing the learning curve were evaluated using the cumulative sum (CUSUM).
Results: The mean value of total OT was 241.8 ± 91.7 minutes, the mean value of DT was 20.6 ± 19.1 minutes, and the mean value of SCT was 135.9 ± 66.7 minutes. The learning curve was divided into phase 1 (initial 16 cases), phase 2 (second 16 cases), and phase 3 (subsequent 25 cases). The peak on the CUSUM graph occurred in the 21st case. The longest OT among phases was in phase 2. Complications were most frequent in phase 2. However, complications of Clavien-Dindo (CD) grade IIIb were most frequent in phase 3 with 2 patients. The most common complications were fluid collection and urinary retention (7 patients each). Complications of CD grade IIIb required one stomal revision due to stoma obstruction and one irrigation and loop ileostomy due to anastomosis leakage.
Conclusion: Improvement in surgical performance of SPR assisted rectal cancer operation was achieved after 21 cases. The three phases identified in the cumulative sum analysis showed a significant decrease in operative time after the middle stage of the learning curve without an increase in the complication rate.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Learning Curve for Single Port Robot Assisted Rectal Cancer Surgery
대한외과학회 학술대회 초록집
2020 .11
-
Robotic Rectal Cancer Surgery
대한임상종양학회 학술대회지
2016 .02
-
Robotic versus conventional laparoscopic surgery for rectal cancer : systematic review and meta-analysis
Annals of Surgical Treatment and Research
2015 .09
-
누적합법을 이용한 초음파 유도하 진공 보조 생검 시술의 학습곡선 분석
Journal of Breast Disease
2015 .12
-
Current status and role of robotic approach in patients with low-lying rectal cancer
Annals of Surgical Treatment and Research
2022 .07
-
Robotic Rectal Surgery - Do we Still Need More Evidence in the Real World?
대한임상종양학회 학술대회지
2015 .02
-
Learning curve analysis for hand-assisted laparoscopic living donor nephrectomy: an analysis of 96 consecutive cases performed by a trained gastrointestinal surgeon
Annals of Surgical Treatment and Research
2024 .08
-
Comparison of oncologic outcomes among the open, laparoscopic-assisted and robotic-assisted rectal cancer surgery
대한임상종양학회 학술대회지
2019 .02
-
Long-term incidence of depression in rectal cancer patients with or without stoma: a population-based cohort study
Annals of Surgical Treatment and Research
2023 .06
-
Experience of sexual life in men with rectal cancer
성인간호학회 학술대회
2016 .06
-
Robotic Rectal Surgery : Comparison of Short-term Outcomes
대한외과학회 학술대회 초록집
2017 .11
-
Single-port (SP) Versus Multiport Robotic Rectal Resection for Rectal Cancer: Randomized Clinical Trial
대한외과학회 학술대회 초록집
2022 .11
-
Learning curve for single-port robot-assisted colectomy
Annals of Coloproctology
2024 .02
-
Robotic Surgery for Rectal Cancer: An Update in 2015
Cancer Research and Treatment
2016 .01
-
Rectal Cancer Surgery: From Open to Transanal
대한임상종양학회 학술대회지
2018 .02
-
Early And Late Clinical Outcomes of Minimally Invasive Surgery for Rectal Cancer: Comparison of Robotic And Laparoscopic Approach with Propensity Score Matching
대한외과학회 학술대회 초록집
2020 .11
-
Impact of Time Interval Between Chemoradiation and Surgery on Pathological Complete Response and Survival in Rectal Cancer
Asian Pacific journal of cancer prevention : APJCP
2016 .01
-
Transanal Endoscopic Microsurgery for Patients With Rectal Tumors: A Single Institution’s Experience
Annals of Coloproctology
2017 .01
-
The Role of Robotic Surgery for Rectal Cancer: Overcoming Technical Challenges in Laparoscopic Surgery by Advanced Techniques
Journal of Korean Medical Science
2015 .01
-
Greater Precision in Imaging, Surgery and Radiation : The Way Forward in Rectal Cancer
대한외과학회 학술대회 초록집
2016 .11
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2023-514-000221364