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Robotic thyroidectomy learning curve for beginning surgeons with little or no experience of endoscopic surgery.
Park, Jae Hyun; Lee, Jandee; Hakim, Nor Azham; Kim, Ha Yan; Kang, Sang-Wook; Jeong, Jong Ju; Nam, Kee-Hyun; Bae, Keum-Seok; Kang, Seong Joon; Chung, Woong Youn.
Afiliación
  • Park JH; Department of Surgery, Yonsei University Wonju College of Medicine, Kangwon, Korea.
  • Lee J; Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • Hakim NA; Department of Surgery, Putrajaya Hospital, Putrajaya, Malaysia.
  • Kim HY; Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Korea.
  • Kang SW; Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • Jeong JJ; Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • Nam KH; Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • Bae KS; Department of Surgery, Yonsei University Wonju College of Medicine, Kangwon, Korea.
  • Kang SJ; Department of Surgery, Yonsei University Wonju College of Medicine, Kangwon, Korea.
  • Chung WY; Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Head Neck ; 37(12): 1705-11, 2015 Dec.
Article en En | MEDLINE | ID: mdl-24986508
BACKGROUND: This study assessed the results of robotic thyroidectomy by fellowship-trained surgeons in their initial independent practice, and whether standard fellowship training for robotic surgery shortens the learning curve. METHODS: This prospective cohort study evaluated outcomes in 125 patients who underwent robotic thyroidectomy using gasless transaxillary single-incision technique by 2 recently graduated fellowship-trained surgeons. Learning curves were analyzed by operation time, with proficiency defined as the point at which the slope of the time curve became less steep. RESULTS: Of the 125 patients, 113 underwent robotic less-than-total thyroidectomy, 9 underwent robotic total thyroidectomy and 3 underwent robotic total thyroidectomy with modified radical neck dissection. Mean total times for these 3 operations were 100.8 ± 20.6 minutes, 134.2 ± 38.7 minutes, and 284.7 ± 60.4 minutes, respectively. For both surgeons, the operation times gradually decreased, reaching a plateau after 20 robotic less-than-total thyroidectomies. CONCLUSION: The surgical learning curve for robotic thyroidectomy performed by recently graduated fellowship-trained surgeons with little or no experience in endoscopic surgery showed excellent results compared with those in a large series of more experienced surgeons.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía General / Tiroidectomía / Neoplasias de la Tiroides / Becas / Curva de Aprendizaje / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Head Neck Asunto de la revista: NEOPLASIAS Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía General / Tiroidectomía / Neoplasias de la Tiroides / Becas / Curva de Aprendizaje / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Head Neck Asunto de la revista: NEOPLASIAS Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos