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Surgical Endoscopy
Published in: Surgical Endoscopy 2/2007

01-02-2007

The learning curve for hand-assisted laparoscopic colectomy: a single surgeon’s experience

Authors: J.-C. Kang, S.-W. Jao, M.-H. Chung, C.-C. Feng, Y.-J. Chang

Published in: Surgical Endoscopy | Issue 2/2007

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Abstract

Background

Surgical experience and outcomes for hand-assisted laparoscopic colectomy were evaluated to define a learning curve.

Methods

This study included 60 patients who underwent hand-assisted laparoscopic colectomies performed by a single surgeon. They were analyzed as three consecutive equal groups: A, B, and C. Pearson’s chi-square test and one-way analysis of variance (ANOVA) were used to compare differences in demographics and perioperative parameters. Operative times were analyzed to document the learning curve for the procedure.

Results

There were no significant differences between the three groups in terms of age, sex, operative procedure, or comorbidity. Groups B and C showed significantly shorter operative times, significantly earlier recoveries of gastrointestinal function, less blood loss, and shorter hospital stays than group A. The incidence of operative complications was not significantly different among the three groups (35% vs 5% vs 15%; p = 0.07).

Conclusions

Approximately 21 to 25 cases were needed to achieve proficiency in this series.
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Metadata
Title
The learning curve for hand-assisted laparoscopic colectomy: a single surgeon’s experience
Authors
J.-C. Kang
S.-W. Jao
M.-H. Chung
C.-C. Feng
Y.-J. Chang
Publication date
01-02-2007
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 2/2007
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0448-3

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