Learning Curves in Laparoscopic Distal Pancreatectomy: A Different Experience for Each Generation

Fondazione Poliambulanza Istituto Ospedaliero

Status: Completed

Conditions: Surgery

Treatments: Procedure: Laparoscopic distal pancreatectomy

Study type: Observational

Funder types: Other

Identifiers

NCT05595343

W19_414 # 19.482

Details and patient eligibility

About

This study compared the learning curves and outcome of Laparoscopic Distal Pancreatectomy between 'pioneers' and early adopters in terms of feasibility and proficiency using short term outcomes.

Full description

Learning curves of laparoscopic distal pancreatectomy (LDP) are mostly based on 'pioneering' surgeons who acquired sufficient proficiency largely through self-teaching. No learning curves have been investigated for early adopting surgeons who performed surgery in later stages of the IDEAL framework and build on the experience of the 'pioneering' surgeons. This study compared the learning curves and outcome of LDP between 'pioneers' and early adopters in terms of feasibility and proficiency using short term outcomes over a period from 1997-2019.

Enrollment: 600 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• The collected data included the name of the surgeon so inclusion criteria for participating surgeons could be determined. Surgeons who were experienced with a minimum of 40 LDPs in total with at least 10 LDPs per year and who performed their LDPs in the same institution (i.e. no outside institutions) were included.

Exclusion criteria

• None

Trial design

600 participants in 2 patient groups

Early adopting surgeons

Description:

Surgeons who started performing LDP during phase 3 of the IDEAL framework; the Assessment phase. They received training in the form of fellowships, proctoring, and courses

Treatment:

Procedure: Laparoscopic distal pancreatectomy

Pioneering surgeons

Description:

Surgeons who started performing LDP during phase 2 of the IDEAL framework; the Development and Exploration phase. They did not receive any specific form of training and were therefore considered self-taught.

Treatment:

Procedure: Laparoscopic distal pancreatectomy