The first attempt to provide a cut-off number for completion of the learning curve in LLR was made in 2006 by Vigano 21 and colleagues; by using a CUSUM analysis, they reported a case-load of 60 resections to cut down conversion rate. Later, a similar analysis focused on operative time was run by Tomassini and colleagues disclosing a number of 160 cases.22 Both manuscripts were limited by the inclusion of unselected laparoscopic procedures without a subgroup analysis according to the type of resections, degree of difficulty and patient’s characteristics as well as background liver disease; LLRs and their learning curves in fact are presumably very different depending on the patient’s characteristics (comorbidities, cirrhosis, neoadjuvant chemotherapy), the disease presentation (location, size, number of lesions) and the type of procedure (major vs. minor, anatomical vs. non-anatomical, anterolateral vs. posterosuperior segments).

Laparoscopic liver resection-education and training / Berardi, Giammauro; Igarashi, Kazuharu; Wakabayashi, Go. - In: TRANSLATIONAL GASTROENTEROLOGY AND HEPATOLOGY. - ISSN 2415-1289. - 4:(2019), pp. 11-11. [10.21037/tgh.2019.01.10]

Laparoscopic liver resection-education and training

Berardi, Giammauro;
2019

Abstract

The first attempt to provide a cut-off number for completion of the learning curve in LLR was made in 2006 by Vigano 21 and colleagues; by using a CUSUM analysis, they reported a case-load of 60 resections to cut down conversion rate. Later, a similar analysis focused on operative time was run by Tomassini and colleagues disclosing a number of 160 cases.22 Both manuscripts were limited by the inclusion of unselected laparoscopic procedures without a subgroup analysis according to the type of resections, degree of difficulty and patient’s characteristics as well as background liver disease; LLRs and their learning curves in fact are presumably very different depending on the patient’s characteristics (comorbidities, cirrhosis, neoadjuvant chemotherapy), the disease presentation (location, size, number of lesions) and the type of procedure (major vs. minor, anatomical vs. non-anatomical, anterolateral vs. posterosuperior segments).
2019
Laparoscopic liver resections
01 Pubblicazione su rivista::01a Articolo in rivista
Laparoscopic liver resection-education and training / Berardi, Giammauro; Igarashi, Kazuharu; Wakabayashi, Go. - In: TRANSLATIONAL GASTROENTEROLOGY AND HEPATOLOGY. - ISSN 2415-1289. - 4:(2019), pp. 11-11. [10.21037/tgh.2019.01.10]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1271915
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