Multicentre study evaluating the surgical learning curve for posterior retroperitoneoscopic adrenalectomy

The British Journal of Surgery
O M VrielinkS Kruijff

Abstract

Posterior retroperitoneoscopic adrenalectomy has gained international popularity in the past decade. Despite major advantages, including shorter duration of operation, minimal blood loss and decreased postoperative pain, many surgeons still prefer laparoscopic transperitoneal adrenalectomy. It is likely that the unfamiliar anatomical environment, smaller working space and long learning curve impede implementation. The present study assessed the number of procedures required to fulfil the surgical learning curve for posterior retroperitoneoscopic adrenalectomy. The first consecutive posterior retroperitoneoscopic adrenalectomies performed by four surgical teams from university centres in three different countries were analysed. The primary outcome measure was duration of operation. Secondary outcomes were conversion to an open or laparoscopic transperitoneal approach, complications and recovery time. The learning curve cumulative sum (LC-CUSUM) was used to assess the learning curves for each surgical team. A total of 181 surgical procedures performed by four surgical teams were analysed. The median age of the patients was 57 (range 15-84) years and 61·3 per cent were female. Median tumour size was 25 (range 4-85) mm. There were ...Continue Reading

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Citations

Nov 9, 2019·Langenbeck's Archives of Surgery·Oliver GimmMarco Raffaelli
Nov 9, 2019·Langenbeck's Archives of Surgery·Radu MihaiLaurent Brunaud
Mar 7, 2020·Irish Journal of Medical Science·David CagneyHenry Paul Redmond
Aug 28, 2021·Journal of Neuroendocrinology·Ieva LaseEva Tiensuu Janson

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