A few reports were focused on the RPD learning curve for surgeons with extensive experience in LPD. Therefore, this study aimed to investigate the number of cases required for such surgeons to overcome the learning curve for RPD and to analyze the impact of different phases of the learning curve on perioperative outcomes.
With the development of robotic surgery systems, their unique advantages over traditional laparoscopic surgery systems, such as a three-dimensional 10-fold magnified view, seven degrees of freedom for flexible wrist movements, tremor filtering, and good ergonomic design, have significantly improved the precision and quality of surgery. The literature has reported that, compared with the laparoscopic surgery system, the robotic surgery system can reduce intraoperative blood loss and the conversion rate to laparotomy, in addition to the dissection of more lymph nodes. Therefore, robotic surgery has become increasingly popular. As the economy develops and surgeons gain more experience in LPD, many are shifting their focus to robotic pancreatoduodenectomy after mastering laparoscopic techniques. There are a few reports on the RPD learning curve for surgeons with extensive experience in LPD. Therefore, this study aimed to investigate the number of cases required for such surgeons to overcome the learning curve for RPD and to analyze the impact of different phases of the learning curve on perioperative outcomes.
Study Type
OBSERVATIONAL
Enrollment
100
Different phases of the learning curve of RPD (learning phase or proficiency phase)
Department of General Surgery, Peking Union Medical College Hospital (PUMCH), Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China
Beijing, Beijing Municipality, China
Intraoperative operation time
Intraoperative operation time, defined as the duration from the skin incision to abdominal closure
Time frame: the data was recorded and collected at the end of the surgery
Intraoperative blood loss
Intraoperative blood loss
Time frame: the data was recorded and collected at the end of the surgery
Conversion to laparotomy
Conversion to laparotomy
Time frame: The data was recorded and collected at the end of the surgery
Postoperative complications
Postoperative pancreatic fistula; hemorrhage, abdominal infection, reoperation
Time frame: up to 3 months after surgery
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