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dc.contributor.authorAzamat, Ibrahim F.
dc.contributor.authorGÖKSOY, Beslen
dc.contributor.authorKiyak, Mevlut
dc.contributor.authorYILMAZ, Gökhan
dc.contributor.authorKaradag, Mehmet
dc.date.accessioned2023-10-10T10:35:59Z
dc.date.available2023-10-10T10:35:59Z
dc.identifier.citationGÖKSOY B., Kiyak M., YILMAZ G., Karadag M., Azamat I. F., "Learning Curve of Laparoscopic Surgery for Colorectal Cancer at a New Regional State Hospital: A Single-Surgeon Experience Of 106 Consecutive Cases Without Supervision", SURGICAL TECHNOLOGY INTERNATIONAL-INTERNATIONAL DEVELOPMENTS IN SURGERY AND SURGICAL RESEARCH, cilt.41, 2022
dc.identifier.issn1090-3941
dc.identifier.otherav_07ec2832-215c-42f6-9064-ff80e17d4651
dc.identifier.othervv_1032021
dc.identifier.urihttp://hdl.handle.net/20.500.12627/189378
dc.identifier.urihttps://doi.org/10.52198/22.sti.41.cr1596
dc.description.abstractBackground: Laparoscopic surgery for colorectal cancer is mostly performed in university hospitals or experienced centers. This study aimed at determining the learning curve of laparoscopic surgery for colorectal cancer at a new regional state hospital. Patients and Methods: Clinico-pathological data of 106 consecutive patients who underwent laparoscopic surgery for colorectal cancer at a new regional state hospital between August 2018 and September 2021 were prospectively recorded and analyzed. All surgeries were performed by a single inexperienced surgeon without supervision. The primary outcome of the study was the operative time, which was used for a Cumulative Sum (CUSUM) analysis of the learning curve. The secondary outcomes included a comparison of preoperative, intraoperative, and postoperative outcomes during the learning curve period. Results: According to the CUSUM analysis, the learning curve consisted of three unique phases: phase 1 [the initial learning period (cases 1- 53)], phase 2 [the consolidation period (cases 54-68)], and phase 3 [the experienced period (cases 69-106)]. Of the intraoperative outcomes, operative time and estimated blood loss were significantly reduced from phase 1 to phase 3 (p<0.001). Of the postoperative outcomes, time to pass stool (p<0.05), time to oral feeding (p=0.001), drain removal time ( p< 0.001), and length of hospital stay (p=0.042) were shorter in phase 3 compared to phases 1 and 2. Of the histopathological results, the specimen length and the number of harvested lymph nodes increased with experience (p=0.001). Conclusions: The present results suggest that a surgeon at a new regional state hospital must experience 5368 cases to achieve competence in laparoscopic colorectal cancer surgery.
dc.language.isoeng
dc.subjectKlinik Tıp
dc.subjectCERRAHİ
dc.subjectCerrahi
dc.subjectTıp
dc.subjectKlinik Tıp (MED)
dc.subjectSağlık Bilimleri
dc.subjectCerrahi Tıp Bilimleri
dc.titleLearning Curve of Laparoscopic Surgery for Colorectal Cancer at a New Regional State Hospital: A Single-Surgeon Experience Of 106 Consecutive Cases Without Supervision
dc.typeMakale
dc.relation.journalSURGICAL TECHNOLOGY INTERNATIONAL-INTERNATIONAL DEVELOPMENTS IN SURGERY AND SURGICAL RESEARCH
dc.contributor.departmentSancaktepe Sehit Prof Dr Ilhan Varank Training & , ,
dc.identifier.volume41
dc.contributor.firstauthorID4559484


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