The Learning Curve for Laparoscopic Inguinal Hernia Repair: an Analysis of the First 109 Cases
| Autor: | Zhibo Yan, Chao Gao, Rexiati Ruze, Guangyong Zhang, Yacheng Xiong, Runzhi Zeng |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urinary retention business.industry CUSUM medicine.disease Cardiac surgery Surgery 03 medical and health sciences Inguinal hernia 0302 clinical medicine medicine.anatomical_structure Cardiothoracic surgery Learning curve 030220 oncology & carcinogenesis Seroma Scrotum medicine 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Indian Journal of Surgery. 83:892-898 |
| ISSN: | 0973-9793 0972-2068 |
| DOI: | 10.1007/s12262-020-02208-9 |
| Popis: | Laparoscopic inguinal hernia repair, especially the transabdominal preperitoneal (TAPP) approach, is being performed increasingly worldwide. However, more complications are reported due to inadequate skills. Here, we generate a learning curve associated with TAPP performed in one inguinal hernia center. A total of 109 consecutive TAPP cases performed by a single surgeon were collected between 2011 and 2013 at Qilu Hospital of Shandong University, China. The cumulative sum (CUSUM) analysis was introduced to evaluate the completion of the learning curve. Meanwhile, other surgical observational targets and complications before discharge and during follow-up were analyzed to evaluate the impact of the learning curve. The mean operation time was 77.8 ± 33.3 min. CUSUM analysis indicated that the major inflection point of was at case 30, which divided the learning curve into two phases (phase 1 and phase 2). Differences in operation time and the postoperative length of stay between the two phases achieved statistical significance (102.4 ± 46.3 vs 68.5 ± 20.5 min, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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