Robotic intersphincteric resection for low rectal cancer: a cumulative sum analysis for the learning curve
Purpose This study aimed to assess the learning curve of robot-assisted intersphincteric resection for low rectal cancer. Methods We retrospectively analyzed the clinical data of 89 patients who underwent robot-assisted intersphincteric resection. All surgeries were performed by the same group of su...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2024-11, Vol.54 (11), p.1329-1336 |
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| container_title | Surgery today (Tokyo, Japan) |
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| creator | Gao, Yihuang Pan, Hongfeng Ye, Jiahong Ruan, Haoyang Jiang, Weizhong Chi, Pan Huang, Ying Huang, Shenghui |
| description | Purpose
This study aimed to assess the learning curve of robot-assisted intersphincteric resection for low rectal cancer.
Methods
We retrospectively analyzed the clinical data of 89 patients who underwent robot-assisted intersphincteric resection. All surgeries were performed by the same group of surgeons at our institution between June 2016 and April 2021. The learning curve was evaluated using a cumulative sum analysis and the best-fit curve. The different stages of the learning curve were compared based on patient characteristics and short-term clinical outcomes to evaluate their impact on clinical efficacy.
Results
The minimum number of cases required to overcome the learning curve was 47. The learning curve was divided into the learning improvement and proficiency stages. Significant differences were observed in the operation time and the number of lymph nodes between the two stages (
P
0.05).
Conclusion
Robotic-assisted intersphincteric resection for low rectal cancer exhibits a learning curve that can be divided into two stages: namely, learning improvement and proficiency. Achieving proficiency requires a minimum of 47 surgical cases. |
| doi_str_mv | 10.1007/s00595-024-02841-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3052595197</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3052595197</sourcerecordid><originalsourceid>FETCH-LOGICAL-c298t-f09804059f9031bd7f2ed7e8c1c0d950d7f53f4f9e643ebf12645adb13082ac63</originalsourceid><addsrcrecordid>eNp9kE1PxCAURYnR6PjxB1wYlm6qD2inxZ0xfiUmJkbXhNKHMmlhhFbHfy866tIFgVzOu8k7hBwyOGEA9WkCqGRVAC_zaUpWrDbIjJViXvCGiU0yA5lDxiXbIbspLSCTDcA22RFNzepK1jOyeAhtGJ2hzo8Y0_LFeZMfOYiY0IwueGpDpH14z4kZdU-N9gbjGdXUTMPU69G9IU3TQLXX_Udy6XtgfEHao47e-ecMxjfcJ1tW9wkPfu498nR1-XhxU9zdX99enN8VhstmLCzIBsq8mZUgWNvVlmNXY2OYgU5WkINK2NJKnJcCW8v4vKx01zIBDddmLvbI8bp3GcPrhGlUg0sG-157DFNSAiqevTFZZ5SvURNDShGtWkY36PihGKgvx2rtWGVz6tuxWuWho5_-qR2w-xv5lZoBsQZS_vLPGNUiTDHLSf_VfgJYIYmp</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3052595197</pqid></control><display><type>article</type><title>Robotic intersphincteric resection for low rectal cancer: a cumulative sum analysis for the learning curve</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Gao, Yihuang ; Pan, Hongfeng ; Ye, Jiahong ; Ruan, Haoyang ; Jiang, Weizhong ; Chi, Pan ; Huang, Ying ; Huang, Shenghui</creator><creatorcontrib>Gao, Yihuang ; Pan, Hongfeng ; Ye, Jiahong ; Ruan, Haoyang ; Jiang, Weizhong ; Chi, Pan ; Huang, Ying ; Huang, Shenghui</creatorcontrib><description>Purpose
This study aimed to assess the learning curve of robot-assisted intersphincteric resection for low rectal cancer.
Methods
We retrospectively analyzed the clinical data of 89 patients who underwent robot-assisted intersphincteric resection. All surgeries were performed by the same group of surgeons at our institution between June 2016 and April 2021. The learning curve was evaluated using a cumulative sum analysis and the best-fit curve. The different stages of the learning curve were compared based on patient characteristics and short-term clinical outcomes to evaluate their impact on clinical efficacy.
Results
The minimum number of cases required to overcome the learning curve was 47. The learning curve was divided into the learning improvement and proficiency stages. Significant differences were observed in the operation time and the number of lymph nodes between the two stages (
P
< 0.05), whereas no significant differences were found in intraoperative blood loss, first postoperative exhaust time, postoperative complications, 3-year progression-free survival, overall survival, and local recurrence-free survival (
P
> 0.05).
Conclusion
Robotic-assisted intersphincteric resection for low rectal cancer exhibits a learning curve that can be divided into two stages: namely, learning improvement and proficiency. Achieving proficiency requires a minimum of 47 surgical cases.</description><identifier>ISSN: 0941-1291</identifier><identifier>ISSN: 1436-2813</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-024-02841-x</identifier><identifier>PMID: 38717597</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Adult ; Aged ; Anal Canal - surgery ; Digestive System Surgical Procedures - education ; Digestive System Surgical Procedures - methods ; Female ; Humans ; Learning Curve ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Operative Time ; Original Article ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Rectal Neoplasms - surgery ; Retrospective Studies ; Robotic Surgical Procedures - education ; Robotic Surgical Procedures - methods ; Surgery ; Surgical Oncology ; Treatment Outcome</subject><ispartof>Surgery today (Tokyo, Japan), 2024-11, Vol.54 (11), p.1329-1336</ispartof><rights>The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd. 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c298t-f09804059f9031bd7f2ed7e8c1c0d950d7f53f4f9e643ebf12645adb13082ac63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-024-02841-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-024-02841-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38717597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gao, Yihuang</creatorcontrib><creatorcontrib>Pan, Hongfeng</creatorcontrib><creatorcontrib>Ye, Jiahong</creatorcontrib><creatorcontrib>Ruan, Haoyang</creatorcontrib><creatorcontrib>Jiang, Weizhong</creatorcontrib><creatorcontrib>Chi, Pan</creatorcontrib><creatorcontrib>Huang, Ying</creatorcontrib><creatorcontrib>Huang, Shenghui</creatorcontrib><title>Robotic intersphincteric resection for low rectal cancer: a cumulative sum analysis for the learning curve</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Purpose
This study aimed to assess the learning curve of robot-assisted intersphincteric resection for low rectal cancer.
Methods
We retrospectively analyzed the clinical data of 89 patients who underwent robot-assisted intersphincteric resection. All surgeries were performed by the same group of surgeons at our institution between June 2016 and April 2021. The learning curve was evaluated using a cumulative sum analysis and the best-fit curve. The different stages of the learning curve were compared based on patient characteristics and short-term clinical outcomes to evaluate their impact on clinical efficacy.
Results
The minimum number of cases required to overcome the learning curve was 47. The learning curve was divided into the learning improvement and proficiency stages. Significant differences were observed in the operation time and the number of lymph nodes between the two stages (
P
< 0.05), whereas no significant differences were found in intraoperative blood loss, first postoperative exhaust time, postoperative complications, 3-year progression-free survival, overall survival, and local recurrence-free survival (
P
> 0.05).
Conclusion
Robotic-assisted intersphincteric resection for low rectal cancer exhibits a learning curve that can be divided into two stages: namely, learning improvement and proficiency. Achieving proficiency requires a minimum of 47 surgical cases.</description><subject>Adult</subject><subject>Aged</subject><subject>Anal Canal - surgery</subject><subject>Digestive System Surgical Procedures - education</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Learning Curve</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Original Article</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Rectal Neoplasms - surgery</subject><subject>Retrospective Studies</subject><subject>Robotic Surgical Procedures - education</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Treatment Outcome</subject><issn>0941-1291</issn><issn>1436-2813</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PxCAURYnR6PjxB1wYlm6qD2inxZ0xfiUmJkbXhNKHMmlhhFbHfy866tIFgVzOu8k7hBwyOGEA9WkCqGRVAC_zaUpWrDbIjJViXvCGiU0yA5lDxiXbIbspLSCTDcA22RFNzepK1jOyeAhtGJ2hzo8Y0_LFeZMfOYiY0IwueGpDpH14z4kZdU-N9gbjGdXUTMPU69G9IU3TQLXX_Udy6XtgfEHao47e-ecMxjfcJ1tW9wkPfu498nR1-XhxU9zdX99enN8VhstmLCzIBsq8mZUgWNvVlmNXY2OYgU5WkINK2NJKnJcCW8v4vKx01zIBDddmLvbI8bp3GcPrhGlUg0sG-157DFNSAiqevTFZZ5SvURNDShGtWkY36PihGKgvx2rtWGVz6tuxWuWho5_-qR2w-xv5lZoBsQZS_vLPGNUiTDHLSf_VfgJYIYmp</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Gao, Yihuang</creator><creator>Pan, Hongfeng</creator><creator>Ye, Jiahong</creator><creator>Ruan, Haoyang</creator><creator>Jiang, Weizhong</creator><creator>Chi, Pan</creator><creator>Huang, Ying</creator><creator>Huang, Shenghui</creator><general>Springer Nature Singapore</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20241101</creationdate><title>Robotic intersphincteric resection for low rectal cancer: a cumulative sum analysis for the learning curve</title><author>Gao, Yihuang ; Pan, Hongfeng ; Ye, Jiahong ; Ruan, Haoyang ; Jiang, Weizhong ; Chi, Pan ; Huang, Ying ; Huang, Shenghui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c298t-f09804059f9031bd7f2ed7e8c1c0d950d7f53f4f9e643ebf12645adb13082ac63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anal Canal - surgery</topic><topic>Digestive System Surgical Procedures - education</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Learning Curve</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Original Article</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Rectal Neoplasms - surgery</topic><topic>Retrospective Studies</topic><topic>Robotic Surgical Procedures - education</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gao, Yihuang</creatorcontrib><creatorcontrib>Pan, Hongfeng</creatorcontrib><creatorcontrib>Ye, Jiahong</creatorcontrib><creatorcontrib>Ruan, Haoyang</creatorcontrib><creatorcontrib>Jiang, Weizhong</creatorcontrib><creatorcontrib>Chi, Pan</creatorcontrib><creatorcontrib>Huang, Ying</creatorcontrib><creatorcontrib>Huang, Shenghui</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gao, Yihuang</au><au>Pan, Hongfeng</au><au>Ye, Jiahong</au><au>Ruan, Haoyang</au><au>Jiang, Weizhong</au><au>Chi, Pan</au><au>Huang, Ying</au><au>Huang, Shenghui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic intersphincteric resection for low rectal cancer: a cumulative sum analysis for the learning curve</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>54</volume><issue>11</issue><spage>1329</spage><epage>1336</epage><pages>1329-1336</pages><issn>0941-1291</issn><issn>1436-2813</issn><eissn>1436-2813</eissn><abstract>Purpose
This study aimed to assess the learning curve of robot-assisted intersphincteric resection for low rectal cancer.
Methods
We retrospectively analyzed the clinical data of 89 patients who underwent robot-assisted intersphincteric resection. All surgeries were performed by the same group of surgeons at our institution between June 2016 and April 2021. The learning curve was evaluated using a cumulative sum analysis and the best-fit curve. The different stages of the learning curve were compared based on patient characteristics and short-term clinical outcomes to evaluate their impact on clinical efficacy.
Results
The minimum number of cases required to overcome the learning curve was 47. The learning curve was divided into the learning improvement and proficiency stages. Significant differences were observed in the operation time and the number of lymph nodes between the two stages (
P
< 0.05), whereas no significant differences were found in intraoperative blood loss, first postoperative exhaust time, postoperative complications, 3-year progression-free survival, overall survival, and local recurrence-free survival (
P
> 0.05).
Conclusion
Robotic-assisted intersphincteric resection for low rectal cancer exhibits a learning curve that can be divided into two stages: namely, learning improvement and proficiency. Achieving proficiency requires a minimum of 47 surgical cases.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>38717597</pmid><doi>10.1007/s00595-024-02841-x</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Aged Anal Canal - surgery Digestive System Surgical Procedures - education Digestive System Surgical Procedures - methods Female Humans Learning Curve Male Medicine Medicine & Public Health Middle Aged Operative Time Original Article Postoperative Complications - epidemiology Postoperative Complications - etiology Rectal Neoplasms - surgery Retrospective Studies Robotic Surgical Procedures - education Robotic Surgical Procedures - methods Surgery Surgical Oncology Treatment Outcome |
| title | Robotic intersphincteric resection for low rectal cancer: a cumulative sum analysis for the learning curve |
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