Learning curves of resection and reconstruction procedures in robotic-assisted pancreatoduodenectomy by a single surgeon:a retrospective cohort study of 160 consecutive cases
作者机构：Department of Pancreato-Biliary SurgeryThe First Affiliated HospitalSun Yat-sen UniversityGuangzhouGuangdongP.R.China
出 版 物：《Gastroenterology Report》 (胃肠病学报道（英文）)
年 卷 期：2023年第11卷第1期
页 面：424-432页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
基 金：supported by the National Natural Science Foundation of China[no.82203105]
主 题：robotic-assisted surgery pancreatoduodenectomy learning curve outcomes
摘 要：Background:Robotic-assisted pancreatoduodenectomy(RPD)has been routinely performed in a few of centers *** study aimed to evaluate the perioperative outcomes and the learning curves of resection and reconstruction procedures in RPD by one single ***:Consecutive patients undergoing RPD by a single surgeon at the First Affiliated Hospital of Sun Yat-sen University(Guangzhou,China)between July 2016 and October 2022 were *** perioperative outcomes and learning curves were retrospectively analysed by using cumulative sum(CUSUM)***:One-hundred and sixty patients were *** to the CUSUM curve,the times of resection and reconstruction procedures were shortened significantly after 30 cases(median,284 vs 195 min;P0.001)and 45 cases(median,138 vs 120 min;P0.001),*** estimated intraoperative blood loss(median,100 vs 50 mL;P0.001)and the incidence of clinically relevant post-operative pancreatic fistula(29.2%vs 12.5%;P=0.035)decreased significantly after 20 and 120 cases,*** were no significant differences in the total number of lymph nodes examined,post-operative major complications,or post-operative length-of-stay between the two ***:Optimization of the resection procedure and the acquisition of visual feedback facilitated the performance of *** was a safe and feasible procedure in the selected patients.
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