Learning Curves in Laparoscopic Distal Pancreatectomy: A Different Experience for Each Generation

Fondazione Poliambulanza Istituto Ospedaliero600 enrolled

Overview

This study compared the learning curves and outcome of Laparoscopic Distal Pancreatectomy between 'pioneers' and early adopters in terms of feasibility and proficiency using short term outcomes.

Learning curves of laparoscopic distal pancreatectomy (LDP) are mostly based on 'pioneering' surgeons who acquired sufficient proficiency largely through self-teaching. No learning curves have been investigated for early adopting surgeons who performed surgery in later stages of the IDEAL framework and build on the experience of the 'pioneering' surgeons. This study compared the learning curves and outcome of LDP between 'pioneers' and early adopters in terms of feasibility and proficiency using short term outcomes over a period from 1997-2019.

Study Type

OBSERVATIONAL

Enrollment

600

Conditions

Surgery

Interventions

Laparoscopic distal pancreatectomyPROCEDURE

Comparison of performed laparoscopic distal pancreas surgery in two different surgeon groups

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * The collected data included the name of the surgeon so inclusion criteria for participating surgeons could be determined. Surgeons who were experienced with a minimum of 40 LDPs in total with at least 10 LDPs per year and who performed their LDPs in the same institution (i.e. no outside institutions) were included. Exclusion Criteria: * None

Outcomes

Primary Outcomes

Feasibility learning curve

Feasibility learning curves are based on operation time

Time frame: 1997-2019

Proficiency learning curve

Proficiency learning curves are based on major complications

Time frame: 1997-2019

Data from ClinicalTrials.gov

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