1. How many procedures are needed to achieve learning curve of Millin simple laparoscopic prostatectomy?
- Author
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Giorgia Tema, Cosimo De Nunzio, Roberto Giulianelli, Fabiana Cancrini, Riccardo Lombardo, Cristina Plaza Alonso, Higinio Rodríguez Núñez, Almudena Carrion Valencia, Manuel Ruibal Moldes, Juan A González-Dacal, Anton Zarraonandia Andraca, and Andrea Tubaro
- Subjects
Male ,medicine.medical_specialty ,Transfusion rate ,Urology ,medicine.medical_treatment ,Operative Time ,CUSUM ,Blood loss ,medicine ,Humans ,Millin ,Aged ,Prostatectomy ,Surgeons ,Urinary retention ,business.industry ,General surgery ,Simple prostatectomy ,learning curve ,Nephrology ,Learning curve ,Laparoscopic Prostatectomy ,Operative time ,Laparoscopy ,medicine.symptom ,business ,Learning Curve - Abstract
BACKGROUND Aim of our study was to evaluate learning curve of the Millin simple prostatectomy analysing three expert laparoscopic surgeons. METHODS Learning curve of 3 expert laparoscopic surgeons with excellent radical prostatectomy training was evaluated. Surgeon 1 had more than 20 years of experience, while other surgeons had 10 years of experience. The first 45 procedures of the surgeons were considered for analysis. The cumulative sum (CUSUM) technique, one of the methods developed to monitor the performance and quality of the industrial sector, was adopted to analyse learning curves. The variables included to evaluate learning curve of the surgeons were: operative time (OT), hospitalisation (HO) and complication rate. RESULTS Overall 135 patients were included in the analysis. Median age was 68 (64/74), median prostate volume was 83 (75/97), median Qmax 9 ml/s (6/11) and median IPSS 20 (18/22). Complications included: 9/135 (7%) transfusion, 4/135 (3%) Urinary retention, 3/135 (2%) fever, 1/35 (
- Published
- 2021