Overcoming the Arduous Transition for Robotic Hepatopancreatobiliary Cases: A Multi-Procedure Learning Curve Study Utilizing CUSUM Analysis.

Journal: World journal of surgery
Published Date:

Abstract

BACKGROUND/OBJECTIVE: Quick optimization and mastery of a new technique is an important part of procedural medicine, especially in the field of minimally invasive surgery. Complex surgeries such as robotic pancreaticoduodenectomies (RPD) and robotic distal pancreatectomies (RDP) have a steep learning curve; therefore, findings that can help expedite the burdensome learning process are extremely beneficial. This single-surgeon study aims to report the learning curves of RDP, RPD, and robotic Heller myotomy (RHM) and to review the results' implications for the current state of robotic hepatopancreaticobiliary (HPB) surgery.

Authors

  • Joseph S Lim
    Department of Surgery, Methodist Health System, 2805 E President George Bush Hwy, Dallas, Richardson, TX, 75082, USA.
  • Terence Jackson
    Department of Surgery, Methodist Health System, 2805 E President George Bush Hwy, Dallas, Richardson, TX, 75082, USA.
  • James Kurtz
    Department of Surgery, Methodist Health System, 2805 E President George Bush Hwy, Dallas, Richardson, TX, 75082, USA.
  • Edward E Cho
    Department of Surgery, Methodist Health System, 2805 E President George Bush Hwy, Dallas, Richardson, TX, 75082, USA.
  • Shyam Vedantam
    Department of Surgery, Methodist Health System, 2805 E President George Bush Hwy, Dallas, Richardson, TX, 75082, USA.
  • Kei Nagatomo
    Department of Surgery, Methodist Health System, 2805 E President George Bush Hwy, Dallas, Richardson, TX, 75082, USA.
  • Houssam Osman
    Department of Surgery, Methodist Health System, 2805 E President George Bush Hwy, Dallas, Richardson, TX, 75082, USA.
  • Dhiresh Rohan Jeyarajah
    Department of Surgery, Methodist Health System, 2805 E President George Bush Hwy, Dallas, Richardson, TX, 75082, USA. drj@tscsurgical.com.