Is prior laparoscopy experience required for adaptation to robotic rectal surgery? Feasibility of one-step transition from open to robotic surgery

Im Kyung Kim, Jeonghyun Kang, Yoon Ah Park, Namkyu Kim, Seung Kook Sohn, Kang Young Lee

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Purpose: The objective of this study is to ascertain the impact of laparoscopic colorectal surgery (LCS) experience on the learning curve of robotic rectal cancer surgery (RRS). Whether LCS experience is mandatory on overcoming the learning curve of RRS or not remains undetermined. Methods: Before starting the robotic procedure, surgeon A had a limited experience of less than 30 LCS cases, whereas surgeon B had performed more than 300 cases of LCS. From the beginning, 100 consecutive, unselected RRS cases performed by each of the two surgeons were retrospectively analyzed (groups A and B). Perioperative surgical and oncologic outcomes were compared between the two groups. Results: Clinicopathological characteristics between the two groups were similar. One case in group A was converted to open surgery. Mean operation time was shorter in group A than that of group B (272 vs. 344 min, p<0.001). Overall perioperative morbidity rates were not different between the two groups (17.0 vs. 10.0%, p =0.214). There was no difference of circumferential resection margin positivity rate and retrieved lymph node numbers. In group A, the operation time decreased with a steep slope until 17 cases on the moving average curve. The slope in group B maintained a steady state and showed no remarkable changes throughout the study period. Conclusions: A one-step transition from open to robotic rectal cancer surgery can be achieved without having extensive prior laparoscopic experience.

Original languageEnglish
Pages (from-to)693-699
Number of pages7
JournalInternational Journal of Colorectal Disease
Volume29
Issue number6
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Robotics
Colorectal Surgery
Laparoscopy
Rectal Neoplasms
Learning Curve
Lymph Nodes
Morbidity
Surgeons

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

@article{cddedae8aa34440991426bbdca9e87d2,
title = "Is prior laparoscopy experience required for adaptation to robotic rectal surgery?: Feasibility of one-step transition from open to robotic surgery",
abstract = "Purpose: The objective of this study is to ascertain the impact of laparoscopic colorectal surgery (LCS) experience on the learning curve of robotic rectal cancer surgery (RRS). Whether LCS experience is mandatory on overcoming the learning curve of RRS or not remains undetermined. Methods: Before starting the robotic procedure, surgeon A had a limited experience of less than 30 LCS cases, whereas surgeon B had performed more than 300 cases of LCS. From the beginning, 100 consecutive, unselected RRS cases performed by each of the two surgeons were retrospectively analyzed (groups A and B). Perioperative surgical and oncologic outcomes were compared between the two groups. Results: Clinicopathological characteristics between the two groups were similar. One case in group A was converted to open surgery. Mean operation time was shorter in group A than that of group B (272 vs. 344 min, p<0.001). Overall perioperative morbidity rates were not different between the two groups (17.0 vs. 10.0{\%}, p =0.214). There was no difference of circumferential resection margin positivity rate and retrieved lymph node numbers. In group A, the operation time decreased with a steep slope until 17 cases on the moving average curve. The slope in group B maintained a steady state and showed no remarkable changes throughout the study period. Conclusions: A one-step transition from open to robotic rectal cancer surgery can be achieved without having extensive prior laparoscopic experience.",
author = "Kim, {Im Kyung} and Jeonghyun Kang and Park, {Yoon Ah} and Namkyu Kim and Sohn, {Seung Kook} and Lee, {Kang Young}",
year = "2014",
month = "1",
day = "1",
doi = "10.1007/s00384-014-1858-2",
language = "English",
volume = "29",
pages = "693--699",
journal = "International Journal of Colorectal Disease",
issn = "0179-1958",
publisher = "Springer Verlag",
number = "6",

}

Is prior laparoscopy experience required for adaptation to robotic rectal surgery? Feasibility of one-step transition from open to robotic surgery. / Kim, Im Kyung; Kang, Jeonghyun; Park, Yoon Ah; Kim, Namkyu; Sohn, Seung Kook; Lee, Kang Young.

In: International Journal of Colorectal Disease, Vol. 29, No. 6, 01.01.2014, p. 693-699.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Is prior laparoscopy experience required for adaptation to robotic rectal surgery?

T2 - Feasibility of one-step transition from open to robotic surgery

AU - Kim, Im Kyung

AU - Kang, Jeonghyun

AU - Park, Yoon Ah

AU - Kim, Namkyu

AU - Sohn, Seung Kook

AU - Lee, Kang Young

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Purpose: The objective of this study is to ascertain the impact of laparoscopic colorectal surgery (LCS) experience on the learning curve of robotic rectal cancer surgery (RRS). Whether LCS experience is mandatory on overcoming the learning curve of RRS or not remains undetermined. Methods: Before starting the robotic procedure, surgeon A had a limited experience of less than 30 LCS cases, whereas surgeon B had performed more than 300 cases of LCS. From the beginning, 100 consecutive, unselected RRS cases performed by each of the two surgeons were retrospectively analyzed (groups A and B). Perioperative surgical and oncologic outcomes were compared between the two groups. Results: Clinicopathological characteristics between the two groups were similar. One case in group A was converted to open surgery. Mean operation time was shorter in group A than that of group B (272 vs. 344 min, p<0.001). Overall perioperative morbidity rates were not different between the two groups (17.0 vs. 10.0%, p =0.214). There was no difference of circumferential resection margin positivity rate and retrieved lymph node numbers. In group A, the operation time decreased with a steep slope until 17 cases on the moving average curve. The slope in group B maintained a steady state and showed no remarkable changes throughout the study period. Conclusions: A one-step transition from open to robotic rectal cancer surgery can be achieved without having extensive prior laparoscopic experience.

AB - Purpose: The objective of this study is to ascertain the impact of laparoscopic colorectal surgery (LCS) experience on the learning curve of robotic rectal cancer surgery (RRS). Whether LCS experience is mandatory on overcoming the learning curve of RRS or not remains undetermined. Methods: Before starting the robotic procedure, surgeon A had a limited experience of less than 30 LCS cases, whereas surgeon B had performed more than 300 cases of LCS. From the beginning, 100 consecutive, unselected RRS cases performed by each of the two surgeons were retrospectively analyzed (groups A and B). Perioperative surgical and oncologic outcomes were compared between the two groups. Results: Clinicopathological characteristics between the two groups were similar. One case in group A was converted to open surgery. Mean operation time was shorter in group A than that of group B (272 vs. 344 min, p<0.001). Overall perioperative morbidity rates were not different between the two groups (17.0 vs. 10.0%, p =0.214). There was no difference of circumferential resection margin positivity rate and retrieved lymph node numbers. In group A, the operation time decreased with a steep slope until 17 cases on the moving average curve. The slope in group B maintained a steady state and showed no remarkable changes throughout the study period. Conclusions: A one-step transition from open to robotic rectal cancer surgery can be achieved without having extensive prior laparoscopic experience.

UR - http://www.scopus.com/inward/record.url?scp=84901459782&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84901459782&partnerID=8YFLogxK

U2 - 10.1007/s00384-014-1858-2

DO - 10.1007/s00384-014-1858-2

M3 - Article

C2 - 24770702

AN - SCOPUS:84901459782

VL - 29

SP - 693

EP - 699

JO - International Journal of Colorectal Disease

JF - International Journal of Colorectal Disease

SN - 0179-1958

IS - 6

ER -