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Seniors Have a Better Learning Curve for Laparoscopic Colorectal Cancer Resection
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  • Seniors Have a Better Learning Curve for Laparoscopic Colorectal Cancer Resection
  • Seniors Have a Better Learning Curve for Laparoscopic Colorectal Cancer Resection
저자명
Zhang. Xing-Mao,Wang. Zheng,Liang. Jian-Wei,Zhou. Zhi-Xiang
간행물명
Asian Pacific journal of cancer prevention : APJCP
권/호정보
2014년|15권 13호|pp.5395-5399 (5 pages)
발행정보
아시아태평양암예방학회
파일정보
정기간행물|ENG|
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기타
이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Purpose: This study was designed to evaluate the outcomes of laparoscopic colorectal resection in a period of learning curve completed by surgeons with different experience and aptitudes with a view to making clear whether seniors had a better learning curve compared with juniors. Methods: From May 2010 to August 2012, the first twenty patients underwent laparoscopic colorectal resection completed by each surgeon were selected for analysis retrospectively. A total of 240 patients treated by 5 seniors and 7 juniors were divided into the senior group (n=100) and the junior group (n=140). The short-term outcomes of laparoscopic surgery of the two groups were compared. Results: The mean numbers of lymph nodes harvested were $21.2{pm}11.0$ in the senior group and $17.3{pm}11.5$ in the junior group (p=0.010); The mean operative times were $187.9{pm}60.0min$ as compared to $231.3{pm}55.7min$ (p=0.006), and blood loss values were $177.0{pm}100.7ml$ and $234.0{pm}185ml$, respectively (p=0.001); Conversion rate in the senior group was obviously lower than in the junior group (10.0% vs 20.7%, p=0.027) and the mean time to passing of first flatus were $3.3{pm}0.9$ and $3.8{pm}0.9$ days (p=0.001). For low rectal cancer, the sphincter preserving rates were 68.7% and 35.3% (p=0.027). Conclusions: Seniors could perform laparoscopic colorectal resection with relatively better oncological outcomes and quicker recovery, and seniors could master the laparoscopic skill more easily and quickly. Seniors had a better learning curve for laparoscopic colorectal cancer resection compared to juniors.