Learning curve of laparoscopic surgery for colorectal cancer at a new regional state hospital: A single-surgeon experience of 106 consecutive cases without supervision

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dc.authorid0000-0003-0889-9586
dc.contributor.authorGöksoy, Beslen
dc.contributor.authorKıyak, Mevlüt
dc.contributor.authorKaradağ, Mehmet
dc.contributor.authorYılmaz, Gökhan
dc.contributor.authorAzamat, İbrahim Fethi
dc.date.accessioned2023-03-31T08:11:13Z
dc.date.available2023-03-31T08:11:13Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractBackground: Laparoscopic surgery for colorectal cancer is mostly performed in university hospitals or experienced centers. This study aimed at determining the learning curve of laparoscopic surgery for col-orectal cancer at a new regional state hospital. Patients and Methods: Clinico-pathological data of 106 consecutive patients who underwent laparoscopic surgery for colorectal cancer at a new regional state hospital between August 2018 and September 2021 were prospectively recorded and analyzed. All surgeries were performed by a single inexperienced surgeon without supervision. The primary outcome of the study was the operative time, which was used for a Cumulative Sum (CUSUM) analysis of the learning curve. The secondary outcomes included a comparison of preoperative, intraoperative, and postoperative outcomes during the learning curve period. Results: According to the CUSUM analysis, the learning curve consisted of three unique phases: phase 1 [the initial learning period (cases 1-53)], phase 2 [the consolidation period (cases 54-68)], and phase 3 [the experienced period (cases 69-106)]. Of the intraoperative outcomes, operative time and estimated blood loss were significantly reduced from phase 1 to phase 3 (p<0.001). Of the postoperative outcomes, time to pass stool (p<0.05), time to oral feeding (p=0.001), drain removal time (p<0.001), and length of hospital stay (p=0.042) were shorter in phase 3 compared to phases 1 and 2. Of the histopathological results, the specimen length and the number of harvested lymph nodes increased with experience (p=0.001). Conclusions: The present results suggest that a surgeon at a new regional state hospital must experience 53-68 cases to achieve competence in laparoscopic colorectal cancer surgery.
dc.identifier.citationGöksoy, B., Kıyak, M., Karadağ, M., Yılmaz, G. ve Azamat, İ. F. (2022). Learning curve of laparoscopic surgery for colorectal cancer at a new regional state hospital: A single-surgeon experience of 106 consecutive cases without supervision. Surgical Technology International, 41. https://dx.doi.org/10.52198/22.STI.41.CR1596
dc.identifier.doi10.52198/22.STI.41.CR1596
dc.identifier.issn1090-3941
dc.identifier.pmid36017960
dc.identifier.scopus2-s2.0-85150518961
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://dx.doi.org/10.52198/22.STI.41.CR1596
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10782
dc.identifier.volume41
dc.identifier.wos001000577400006en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYılmaz, Gökhan
dc.language.isoen
dc.publisherUniversal Medical Press
dc.relation.ispartofSurgical Technology Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectNew Regional State Hospital
dc.subjectColorectal Cancer
dc.subjectLaparoscopic Surgery
dc.subjectConsecutive Cases Without Supervision
dc.titleLearning curve of laparoscopic surgery for colorectal cancer at a new regional state hospital: A single-surgeon experience of 106 consecutive cases without supervision
dc.typeArticle

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