The learning curve in the context of surgical practice
open access
Abstract
The term “learning curve” is not a new term in surgery. Due to the constant development of operating techniques its importance is increasing. It is an useful tool to assess progression in the acquisition of new surgical skills or when introducing a new procedure in the surgical ward.
Preparation and analysis of learning curves also allows for adequate progress control during surgical training and, if necessary, to modify it.
The work tries to bring closer the idea of learning curves, measures of outcomes and the potential benefits of determining the curves for the surgical procedures.
Abstract
The term “learning curve” is not a new term in surgery. Due to the constant development of operating techniques its importance is increasing. It is an useful tool to assess progression in the acquisition of new surgical skills or when introducing a new procedure in the surgical ward.
Preparation and analysis of learning curves also allows for adequate progress control during surgical training and, if necessary, to modify it.
The work tries to bring closer the idea of learning curves, measures of outcomes and the potential benefits of determining the curves for the surgical procedures.
Keywords
learning curve, surgical training, measure of outcome


Title
The learning curve in the context of surgical practice
Journal
Chirurgia Polska (Polish Surgery)
Issue
Pages
16-23
Bibliographic record
Chirurgia Polska 2016;18(1-2):16-23.
Keywords
learning curve
surgical training
measure of outcome
Authors
Adam Kurek
Robert Król


- Wright TP. Factors Affecting the Cost of Airplanes. Journal of the Aeronautical Sciences. 1936; 3(4): 122–128.
- Grober ED, Roberts M, Shin EJ, et al. Intraoperative assessment of technical skills on live patients using economy of hand motion: establishing learning curves of surgical competence. Am J Surg. 2010; 199(1): 81–85.
- Dagher I, O'Rourke N, Geller DA, et al. Laparoscopic major hepatectomy: an evolution in standard of care. Ann Surg. 2009; 250(5): 856–860.
- Coe TM, Fong ZV, Wilson SE, et al. Outcomes Improvement Is Not Continuous Along the Learning Curve for Pancreaticoduodenectomy at the Hospital Level. J Gastrointest Surg. 2015; 19(12): 2132–2137.
- Fisher WE, Hodges SE, Wu MF, et al. Assessment of the learning curve for pancreaticoduodenectomy. Am J Surg. 2012; 203(6): 684–690.
- Cameron JL, Riall TS, Coleman J, et al. One thousand consecutive pancreaticoduodenectomies. Ann Surg. 2006; 244(1): 10–15.
- Harrysson IJ, Cook J, Sirimanna P, et al. Systematic review of learning curves for minimally invasive abdominal surgery: a review of the methodology of data collection, depiction of outcomes, and statistical analysis. Ann Surg. 2014; 260(1): 37–45.
- Hopper AN, Jamison MH, Lewis WG. Learning curves in surgical practice. Postgrad Med J. 2007; 83(986): 777–779.
- Georgiou PA, Bhangu A, Brown G, et al. Learning curve for the management of recurrent and locally advanced primary rectal cancer: a single team's experience. Colorectal Dis. 2015; 17(1): 57–65.
- Wolff T, Schumacher M, Dell-Kuster S, et al. Surgical complications in kidney transplantation: no evidence for a learning curve. J Surg Educ. 2014; 71(5): 748–755.
- Parikh D, Johnson M, Chagla L, et al. D2 gastrectomy: lessons from a prospective audit of the learning curve. Br J Surg. 1996; 83(11): 1595–1599.
- Birkmeyer JD, Finlayson SR, Tosteson AN, et al. Effect of hospital volume on in-hospital mortality with pancreaticoduodenectomy. Surgery. 1999; 125(3): 250–256.
- Cai X, Li Z, Zhang Y, et al. Laparoscopic liver resection and the learning curve: a 14-year, single-center experience. Surg Endosc. 2014; 28(4): 1334–1341.
- Bansal VK, Raveendran R, Misra MC, et al. A prospective randomized controlled blinded study to evaluate the effect of short-term focused training program in laparoscopy on operating room performance of surgery residents (CTRI /2012/11/003113). J Surg Educ. 2014; 71(1): 52–60.
- Palter VN, Orzech N, Reznick RK, et al. Validation of a structured training and assessment curriculum for technical skill acquisition in minimally invasive surgery: a randomized controlled trial. Ann Surg. 2013; 257(2): 224–230.
- Kluger MD, Vigano L, Barroso R, et al. The learning curve in laparoscopic major liver resection. J Hepatobiliary Pancreat Sci. 2013; 20(2): 131–136.
- Prakash K, Kamalesh NP, Pramil K, et al. Does case selection and outcome following laparoscopic colorectal resection change after initial learning curve? Analysis of 235 consecutive elective laparoscopic colorectal resections. J Minim Access Surg. 2013; 9(3): 99–103.
- Pecorelli N, Balzano G, Capretti G, et al. Effect of surgeon volume on outcome following pancreaticoduodenectomy in a high-volume hospital. J Gastrointest Surg. 2012; 16(3): 518–523.
- Hofer I, Spivack J, Yaport M, et al. Association between anesthesiologist experience and mortality after orthotopic liver transplantation. Liver Transpl. 2015; 21(1): 89–95.
- Weller J, Cumin D, Torrie J, et al. Multidisciplinary operating room simulation-based team training to reduce treatment errors: a feasibility study in New Zealand hospitals. N Z Med J. 2015; 128(1418): 40–51.
- Patriti A, Marano L, Casciola L. MILS in a general surgery unit: learning curve, indications, and limitations. Updates Surg. 2015; 67(2): 207–213.
- Nomi T, Fuks D, Kawaguchi Y, et al. Learning curve for laparoscopic major hepatectomy. Br J Surg. 2015; 102(7): 796–804.
- Yamamoto M, Okuda J, Tanaka K, et al. Evaluating the learning curve associated with laparoscopic left hemicolectomy for colon cancer. Am Surg. 2013; 79(4): 366–371.
- Richardson MC, Bell G, Fullarton GM. Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: an audit of 5913 cases. West of Scotland Laparoscopic Cholecystectomy Audit Group. Br J Surg. 1996; 83(10): 1356–1360.