Robotic thyroidectomy learning curve for beginning surgeons with little or no experience of endoscopic surgery

Jae Hyun Park, Jandee Lee, Nor Azham Hakim, Ha Yan Kim, Sang Wook Kang, Jong Ju Jeong, Kee Hyun Nam, Keumseok Bae, Seong Joon Kang, Woong Youn Chung

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background This study assessed the results of robotic thyroidectomy by fellowship-trained surgeons in their initial independent practice, and whether standard fellowship training for robotic surgery shortens the learning curve. Methods This prospective cohort study evaluated outcomes in 125 patients who underwent robotic thyroidectomy using gasless transaxillary single-incision technique by 2 recently graduated fellowship-trained surgeons. Learning curves were analyzed by operation time, with proficiency defined as the point at which the slope of the time curve became less steep. Results Of the 125 patients, 113 underwent robotic less-than-total thyroidectomy, 9 underwent robotic total thyroidectomy and 3 underwent robotic total thyroidectomy with modified radical neck dissection. Mean total times for these 3 operations were 100.8 ± 20.6 minutes, 134.2 ± 38.7 minutes, and 284.7 ± 60.4 minutes, respectively. For both surgeons, the operation times gradually decreased, reaching a plateau after 20 robotic less-than-total thyroidectomies. Conclusion The surgical learning curve for robotic thyroidectomy performed by recently graduated fellowship-trained surgeons with little or no experience in endoscopic surgery showed excellent results compared with those in a large series of more experienced surgeons.

Original languageEnglish
Pages (from-to)1705-1711
Number of pages7
JournalHead and Neck
Volume37
Issue number12
DOIs
Publication statusPublished - 2015 Dec 1

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Learning Curve
Thyroidectomy
Robotics
Neck Dissection
Surgeons
Cohort Studies
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Park, J. H., Lee, J., Hakim, N. A., Kim, H. Y., Kang, S. W., Jeong, J. J., ... Chung, W. Y. (2015). Robotic thyroidectomy learning curve for beginning surgeons with little or no experience of endoscopic surgery. Head and Neck, 37(12), 1705-1711. https://doi.org/10.1002/hed.23824
Park, Jae Hyun ; Lee, Jandee ; Hakim, Nor Azham ; Kim, Ha Yan ; Kang, Sang Wook ; Jeong, Jong Ju ; Nam, Kee Hyun ; Bae, Keumseok ; Kang, Seong Joon ; Chung, Woong Youn. / Robotic thyroidectomy learning curve for beginning surgeons with little or no experience of endoscopic surgery. In: Head and Neck. 2015 ; Vol. 37, No. 12. pp. 1705-1711.
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Park, JH, Lee, J, Hakim, NA, Kim, HY, Kang, SW, Jeong, JJ, Nam, KH, Bae, K, Kang, SJ & Chung, WY 2015, 'Robotic thyroidectomy learning curve for beginning surgeons with little or no experience of endoscopic surgery', Head and Neck, vol. 37, no. 12, pp. 1705-1711. https://doi.org/10.1002/hed.23824

Robotic thyroidectomy learning curve for beginning surgeons with little or no experience of endoscopic surgery. / Park, Jae Hyun; Lee, Jandee; Hakim, Nor Azham; Kim, Ha Yan; Kang, Sang Wook; Jeong, Jong Ju; Nam, Kee Hyun; Bae, Keumseok; Kang, Seong Joon; Chung, Woong Youn.

In: Head and Neck, Vol. 37, No. 12, 01.12.2015, p. 1705-1711.

Research output: Contribution to journalArticle

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AU - Lee, Jandee

AU - Hakim, Nor Azham

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AU - Kang, Sang Wook

AU - Jeong, Jong Ju

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AU - Bae, Keumseok

AU - Kang, Seong Joon

AU - Chung, Woong Youn

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Y1 - 2015/12/1

N2 - Background This study assessed the results of robotic thyroidectomy by fellowship-trained surgeons in their initial independent practice, and whether standard fellowship training for robotic surgery shortens the learning curve. Methods This prospective cohort study evaluated outcomes in 125 patients who underwent robotic thyroidectomy using gasless transaxillary single-incision technique by 2 recently graduated fellowship-trained surgeons. Learning curves were analyzed by operation time, with proficiency defined as the point at which the slope of the time curve became less steep. Results Of the 125 patients, 113 underwent robotic less-than-total thyroidectomy, 9 underwent robotic total thyroidectomy and 3 underwent robotic total thyroidectomy with modified radical neck dissection. Mean total times for these 3 operations were 100.8 ± 20.6 minutes, 134.2 ± 38.7 minutes, and 284.7 ± 60.4 minutes, respectively. For both surgeons, the operation times gradually decreased, reaching a plateau after 20 robotic less-than-total thyroidectomies. Conclusion The surgical learning curve for robotic thyroidectomy performed by recently graduated fellowship-trained surgeons with little or no experience in endoscopic surgery showed excellent results compared with those in a large series of more experienced surgeons.

AB - Background This study assessed the results of robotic thyroidectomy by fellowship-trained surgeons in their initial independent practice, and whether standard fellowship training for robotic surgery shortens the learning curve. Methods This prospective cohort study evaluated outcomes in 125 patients who underwent robotic thyroidectomy using gasless transaxillary single-incision technique by 2 recently graduated fellowship-trained surgeons. Learning curves were analyzed by operation time, with proficiency defined as the point at which the slope of the time curve became less steep. Results Of the 125 patients, 113 underwent robotic less-than-total thyroidectomy, 9 underwent robotic total thyroidectomy and 3 underwent robotic total thyroidectomy with modified radical neck dissection. Mean total times for these 3 operations were 100.8 ± 20.6 minutes, 134.2 ± 38.7 minutes, and 284.7 ± 60.4 minutes, respectively. For both surgeons, the operation times gradually decreased, reaching a plateau after 20 robotic less-than-total thyroidectomies. Conclusion The surgical learning curve for robotic thyroidectomy performed by recently graduated fellowship-trained surgeons with little or no experience in endoscopic surgery showed excellent results compared with those in a large series of more experienced surgeons.

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