Assessing the learning curve of robot-assisted total mesorectal excision: a multicenter study considering procedural safety, pathological safety, and efficiency.

Journal: International journal of colorectal disease
PMID:

Abstract

PURPOSE: Evidence regarding the learning curve of robot-assisted total mesorectal excision is scarce and of low quality. Case-mix is mostly not taken into account, and learning curves are based on operative time, while preferably clinical outcomes and literature-based limits should be used. Therefore, this study aims to assess the learning curve of robot-assisted total mesorectal excision.

Authors

  • T A Burghgraef
    Department of Surgery, Meander Medical Center, Amersfoort, The Netherlands.
  • D J Sikkenk
    Department of Surgery, Meander Medical Centre, Amersfoort, The Netherlands.
  • R M P H Crolla
    Department of Surgery, Amphia Hospital, Breda, The Netherlands.
  • M Fahim
    Department of Surgery, St Antonius Hospital, Nieuwegein, the Netherlands.
  • J Melenhorst
    Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.
  • M El Moumni
    Department of Surgery, University Medical Centre Groningen, Groningen, The Netherlands.
  • G van der Schelling
    Department of Surgery, Amphia Hospital, Breda, The Netherlands.
  • A B Smits
    Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
  • L P S Stassen
    Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.
  • P M Verheijen
    Department of Surgery, Meander Medical Center, Amersfoort, The Netherlands.
  • E C J Consten
    Department of Surgery, Meander Medical Center, Maatweg 3, Amersfoort, The Netherlands.