open access
Learning curve analysis of single-site incision laparoscopic adnexal surgery performed by a single surgeon
Affiliations- Department of Obstetrics and Gynecology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Republic of Korea
open access
Abstract
Objectives: Due to the development of laparoscopy techniques, single-site incision laparoscopic surgery (SILS) has recently been performed at many institutes using only a single-incision transumbilical port. We aimed to carry out a learning curve analysis for SILS for adnexal surgery and validate the short-term surgical outcomes. Material and methods: In total, 214 patients were enrolled in this study. The medical records of patients who underwent SILS for adnexal surgery by an expert surgeon from October 2008 to September 2018 were reviewed and analyzed. Results: The mean age and parity were 33.9 ± 11.5 years and 1.0 ± 1.1, respectively. The mean operation duration was 77.5 ± 22.3 min. In the analysis of the learning curve for single-site incision laparoscopic adnexal surgery, surgical proficiency was defined as the point at which the slope of the learning curve became less steep, which was evident after the 24th operation. No operative complications, conversions to laparotomy or additional trocar insertions were observed. Conclusions: Single-site incision laparoscopic surgery (SILS) for adnexal surgery is a safe technique and does not increase the risk of peri- or postoperative complications. For safe performance of SILS, a certain training period for learning the technique should be required.
Abstract
Objectives: Due to the development of laparoscopy techniques, single-site incision laparoscopic surgery (SILS) has recently been performed at many institutes using only a single-incision transumbilical port. We aimed to carry out a learning curve analysis for SILS for adnexal surgery and validate the short-term surgical outcomes. Material and methods: In total, 214 patients were enrolled in this study. The medical records of patients who underwent SILS for adnexal surgery by an expert surgeon from October 2008 to September 2018 were reviewed and analyzed. Results: The mean age and parity were 33.9 ± 11.5 years and 1.0 ± 1.1, respectively. The mean operation duration was 77.5 ± 22.3 min. In the analysis of the learning curve for single-site incision laparoscopic adnexal surgery, surgical proficiency was defined as the point at which the slope of the learning curve became less steep, which was evident after the 24th operation. No operative complications, conversions to laparotomy or additional trocar insertions were observed. Conclusions: Single-site incision laparoscopic surgery (SILS) for adnexal surgery is a safe technique and does not increase the risk of peri- or postoperative complications. For safe performance of SILS, a certain training period for learning the technique should be required.
Keywords
adnexa; learning curve; operative outcomes; operation duration; single-site incision laparoscopic surgery
About this articleTitle
Learning curve analysis of single-site incision laparoscopic adnexal surgery performed by a single surgeon
Journal
Issue
Article type
Research paper
Pages
587-592
Published online
2022-06-03
Page views
916
Article views/downloads
386
DOI
Pubmed
Bibliographic record
Ginekol Pol 2023;94(8):587-592.
Keywords
adnexa
learning curve
operative outcomes
operation duration
single-site incision laparoscopic surgery
Authors
Sang Wook Yi
References (11)- Yi SW, Ju DaH, Lee SS, et al. Transumbilical retrieval of surgical specimens through a multichannel port. JSLS. 2014; 18(4): e2014.00178.
- Centner V, Massart DL. Optimization in locally weighted regression. Anal Chem. 1998; 70(19): 4206–4211.
- Fukumoto K, Miyajima A, Hattori S, et al. The learning curve of laparoendoscopic single-site adrenalectomy: an analysis of over 100 cases. Surg Endosc. 2017; 31(1): 170–177.
- Lee HJ, Kim JuY, Kim SKi, et al. Learning Curve Analysis and Surgical Outcomes of Single-port Laparoscopic Myomectomy. J Minim Invasive Gynecol. 2015; 22(4): 607–611.
- Lin JF, Frey M, Huang JQ. Learning curve analysis of the first 100 robotic-assisted laparoscopic hysterectomies performed by a single surgeon. Int J Gynaecol Obstet. 2014; 124(1): 88–91.
- Lenihan JP, Kovanda C, Seshadri-Kreaden U. What is the learning curve for robotic assisted gynecologic surgery? J Minim Invasive Gynecol. 2008; 15(5): 589–594.
- Lim PC, Kang E, Park DoH. Learning curve and surgical outcome for robotic-assisted hysterectomy with lymphadenectomy: case-matched controlled comparison with laparoscopy and laparotomy for treatment of endometrial cancer. J Minim Invasive Gynecol. 2010; 17(6): 739–748.
- Payne TN, Dauterive FR. A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice. J Minim Invasive Gynecol. 2008; 15(3): 286–291.
- Lee HH, Song KY, Park CH, et al. Training of surgical endoscopists in Korea: assessment of the learning curve using a cumulative sum model. J Surg Educ. 2012; 69(4): 559–563.
- Song T, Kim TJ, Lee YY, et al. Learning curves for single-site laparoscopic ovarian surgery. J Minim Invasive Gynecol. 2012; 19(3): 344–349.
- Paek J, Kim SW, Lee SH, et al. Learning curve and surgical outcome for single-port access total laparoscopic hysterectomy in 100 consecutive cases. Gynecol Obstet Invest. 2011; 72(4): 227–233.
