Long-term oncologic outcomes of laparoscopic right hemicolectomy during the learning curve period: Comparative study with cases after the learning curve period

Eun Jung Park, Min Sung Kim, Gangmi Kim, Chang Hee Kim, Hyuk Hur, Byung So Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: This study aimed to assess the learning curve in laparoscopic right hemicolectomy and compare the long-term oncologic outcomes of the learning curve period. Materials and Methods: We retrospectively reviewed 97 patients who underwent a laparoscopic right hemicolectomy by a single surgeon between July 2006 and January 2009. Among them, 87 patients, excluding patients with stage IV (n=10) disease, were evaluated for long-term oncologic outcomes. They were divided into 2 phases: phase 1 (the learning curve period) and phase 2 (the expert period). The cumulative sum method was used for estimating the learning curve. Results: The learning curve was determined at the 42nd case. Patient characteristics and postoperative clinicopathologic outcomes were similar in both groups except for the operation time (212.5±65.0 min vs. 146.4±37.1 min; P<0.001) and length of stay (10.7±5.4 d vs. 8.4±2.9 d; P=0.015). The 5-year overall survival rates were similar in both groups throughout all stages. The 5-year disease-free survival rate of stage III disease in phase 2 (85%) was better than that of phase 1 (53.3%; P=0.046). Conclusions: Laparoscopic right hemicolectomy during the learning curve period showed acceptable clinicopathologic outcomes. However, the 5-year disease-free survival rate was compromised in patients with stage III disease in phase I.

Original languageEnglish
Pages (from-to)52-58
Number of pages7
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume25
Issue number1
DOIs
Publication statusPublished - 2015 Feb 27

All Science Journal Classification (ASJC) codes

  • Surgery

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