Accreditation as a qualified surgeon improves surgical outcomes in laparoscopic distal gastrectomy
| Autor: | Satoru Kikuchi, Kazuya Kuwada, Kazuhiro Noma, Masahiko Nishizaki, Yuzo Umeda, Shinji Kuroda, Tetsuya Kagawa, Shunsuke Kagawa, Toshiharu Mitsuhashi, Ryohei Shoji, Toshiyoshi Fujiwara, Yoshihiko Kakiuchi, Nobuo Takata |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Endoscopic surgical skill quantification system Qualified surgeon Operative Time education Blood Loss Surgical Accreditation 03 medical and health sciences Postoperative Complications 0302 clinical medicine Japan Blood loss Gastrectomy Stomach Neoplasms Surgical oncology Surgical skills Humans Medicine Operation time Laparoscopic distal gastrectomy Aged Quality of Health Care Retrospective Studies Surgeons business.industry General surgery General Medicine Middle Aged Quality Improvement Single surgeon Cumulative sum analysis Treatment Outcome Learning curve 030220 oncology & carcinogenesis Female Laparoscopy 030211 gastroenterology & hepatology Surgery Clinical Competence Gastric cancer business Learning Curve |
| Zdroj: | Surgery Today. 51:1978-1984 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s00595-021-02309-2 |
| Popis: | Purpose: The Endoscopic Surgical Skill Quantification System for qualified surgeons (QSs) was introduced in Japan to improve surgical outcomes. This study reviewed the surgical outcomes after initial experience performing laparoscopic distal gastrectomy (LDG) and evaluated the improvement in surgical outcomes following accreditation as a QS. Methods: Eighty-seven consecutive patients who underwent LDG for gastric cancer by a single surgeon were enrolled in this study. The cumulative sum method was used to analyze the learning curve for LDG. The surgical outcomes were evaluated according to the two phases of the learning curve (learning period vs. mastery period) and accreditation (non-QS period vs. QS period). Results: The learning period for LDG was 48 cases. Accreditation was approved at the 67th case. The operation time and estimated blood loss were significantly reduced in the QS period compared to the non-QS period (230 vs. 270 min, p Conclusions: Experience performing approximately 50 cases is required to reach proficiency in LDG. After receiving accreditation as a QS, the surgical outcomes, including the complication rate, were improved. |
| Databáze: | OpenAIRE |
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