Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Hall 4EF
Background:Video-assisted minilaparotomy surgery (VAMS) is a hybrid of open and laparoscopic surgical techniques, so has advantages of both approaches. Here we examined the learning curve for this procedure.
Methods: We retrospectively evaluated 50 consecutive patients who underwent VAMS donor nephrectomy performed by a single surgeon (Y.E.Y.) between March 2015 and March 2016. The learning curve was evaluated using the cumulative sum (CUSUM) method.
Results: The mean patient age, body mass index, and body surface area were 43.5 years, 23.8 kg/m2, and 1.7 m2, respectively. The mean operation time and warm ischemic time were 160.0 min and 124.4 s. The learning curve of total operation time was best modeled as a second-order polynomial with equation CUSUMOT (min) = -0.3802 [times] case number2 + 20.315 [times] case number – 41.333 (R2=0.7707). The curve included three unique phases: phase 1 (the initial 17 cases), which is the initial learning curve; phase 2 (the middle 23 cases), expert competence, and phase 3 (the subsequent cases), mastery.
Conclusions: The VAMS donor nephrectomy learning curve is shorter than for laparoscopic or robotic hand-assisted donor nephrectomy. Surgeons can become familiar with the procedure and perform it without complications after approximately 17 operations.
CITATION INFORMATION: Na J., Park J., Yoon M-.G., Lee H., Yoon Y., Huh K., Kim M., Kim S., Kim Y., Han W. Cumulative Sum Analysis of the Learning Curve for Video-Assisted Minilaparotomy Donor Nephrectomy in Healthy Kidney Donors Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:Na J, Park J, Yoon M-G, Lee H, Yoon Y, Huh K, Kim M, Kim S, Kim Y, Han W. Cumulative Sum Analysis of the Learning Curve for Video-Assisted Minilaparotomy Donor Nephrectomy in Healthy Kidney Donors [abstract]. https://atcmeetingabstracts.com/abstract/cumulative-sum-analysis-of-the-learning-curve-for-video-assisted-minilaparotomy-donor-nephrectomy-in-healthy-kidney-donors/. Accessed November 10, 2019.
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