Learning Curve for Laparoscopic Pancreaticoduodenectomy: a CUSUM Analysis

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Mingjun WangBing Peng

Abstract

Laparoscopic pancreaticoduodenectomy (LPD), an advanced minimally invasive technique, has demonstrated advantages to open pancreaticoduodenectomy (OPD). However, this complex procedure requires a relatively long training period to ensure technical proficiency. This study was therefore designed to analyze the learning curve for LPD. From October 2010 to September 2015, 63 standard pancreaticoduodenectomy procedures were to be performed laparoscopically by a single surgeon at the Department of Pancreatic Surgery, West China Hospital, Sichuan University, China. After applying the inclusion and exclusion criteria, a total of 57 patients were included in the study. Data for all the patients, including preoperative, intraoperative, and postoperative variables, were prospectively collected and analyzed. The learning curve for LPD was evaluated using both cumulative sum (CUSUM) and risk-adjusted CUSUM (RA-CUSUM) methods. All of the variables among the learning curve phases were compared. Based on the CUSUM and the RA-CUSUM analyses, the learning curve for LPD was grouped into three phases: phase I was the initial learning period (cases 1-11), phase II represented the technical competence period (cases 12-38), and phase III was regarded...Continue Reading

References

May 1, 1994·Surgical Endoscopy·M Gagner, A Pomp
Apr 5, 2001·Surgical Endoscopy·F MaruschUNKNOWN Laparoscopic Colorectal Surgery Study Group (LCSSG)
Jul 9, 2005·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Fistula Definition
Oct 13, 2007·The British Journal of Surgery·G BalzanoV Di Carlo
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Feb 25, 2010·Annals of Surgical Oncology·Stephen B Edge, Carolyn C Compton
Aug 13, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Gyung-Mo SonChung-Soo Chun
Aug 25, 2010·Surgical Endoscopy·Malak B BokhariEric M Haas
Sep 14, 2010·Surgical Endoscopy·Allan OkrainecGerald M Fried
Jan 13, 2012·The British Journal of Surgery·R F de WildeUNKNOWN Dutch Pancreatic Cancer Group
Mar 17, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marianne HuebnerMichael Sarr
Jul 5, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Peter J KneuertzTimothy M Pawlik
Dec 12, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Nakul P ValsangkarSarah P Thayer
Feb 28, 2014·World Journal of Gastroenterology : WJG·Ming-Jun WangBing Peng
Apr 20, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Yunqiang CaiXubao Liu
May 14, 2014·Diseases of the Colon and Rectum·Matthew B BaileyShaun P McKenzie
Jun 14, 2014·Annals of Surgical Oncology·Paul J SpeicherAlexander Perez
Aug 16, 2014·Surgical Endoscopy·Ugo BoggiFranco Mosca
Mar 19, 2015·Surgical Endoscopy·Mingjun WangBing Peng
Apr 5, 2015·Journal of the American College of Surgeons·Safi DokmakAlain Sauvanet
Apr 16, 2015·The British Journal of Surgery·T NomiB Gayet

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Citations

Oct 25, 2016·International Journal of Surgery·Mingjun WangBing Peng
Dec 18, 2016·Langenbeck's Archives of Surgery·Chien-Hung LiaoTa-Sen Yeh
Nov 12, 2017·Reviews in Endocrine & Metabolic Disorders·M ThomaschewskiE von Dobschuetz
Aug 31, 2017·Current Treatment Options in Gastroenterology·Laura Maggino, Charles M Vollmer
Feb 26, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Yunqiang CaiBing Peng
Oct 1, 2019·Annals of Surgery·Horacio J AsbunUNKNOWN International Study Group on Minimally Invasive Pancreas Surgery (I-MIPS)
Apr 8, 2020·ANZ Journal of Surgery·Hyeong Min ParkSun-Whe Kim
Jan 16, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ling-Wei MengBing Peng
Jan 9, 2020·Annals of Plastic Surgery·Christian TapkingChristoph Hirche
Oct 13, 2017·ANZ Journal of Surgery·Bhavik PatelDavid Cavallucci
Jul 22, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Bo WangSang-Uk Han
Jul 22, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Xiaohui DuanXianhai Mao
Apr 27, 2018·Khirurgiia·A D KaprinD V Sidorov
Mar 28, 2020·Journal of Surgical Oncology·Charles C Vining, Melissa E Hogg
Oct 3, 2020·Annals of Gastroenterological Surgery·Hiromitsu Hayashi, Hideo Baba
Jun 21, 2019·Journal of Hepato-biliary-pancreatic Sciences·Chong-Yi JiangWei Wang
Sep 20, 2019·Singapore Medical Journal·Tze-Yi LowBrian Kp Goh
Dec 15, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Alma L MoekotteUNKNOWN International Evidence-Based Guidelines on Minimally Invasive Pancreas Resection (IG-MIPR)
Feb 2, 2021·Journal of Hepato-biliary-pancreatic Sciences·Yuichi NagakawaUNKNOWN Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)
May 21, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Lingwei MengBing Peng
Apr 8, 2021·Surgical Endoscopy·Pavel TyutyunnikUNKNOWN European Consortium on Minimally Invasive Pancreatic Surgery
Apr 30, 2021·The Lancet. Gastroenterology & Hepatology·Min WangUNKNOWN Minimally Invasive Treatment Group in the Pancreatic Disease Branch of China's International Exchange and Promotion Associat

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