Differences in the learning curve of robotic transabdominal preperitoneal inguinal hernia repair according to surgeon's robotic experience

Review Surgery

Learning curve of laparoscopic inguinal hernia repair: systematic review, meta-analysis, and meta-regression

Jonathan Sivakumar et al.

Summary: Laparoscopic inguinal hernia repair has a well-defined learning curve, and surgeons in their learning phase may experience higher rates of open conversions, postoperative complications, and recurrences. Supervision during this period may be beneficial in improving outcomes.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2023)

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Article Surgery

Learning curve of robot-assisted transabdominal preperitoneal (rTAPP) inguinal hernia repair: a cumulative sum (CUSUM) analysis

Omar Yusef Kudsi et al.

Summary: This study analyzed a surgeon's learning curve for robot-assisted transabdominal preperitoneal inguinal hernia repair, finding that operative times and surgical site event rates decreased gradually after completing 138 procedures. Previous laparoscopic experience, robotic team efficiency, and surgical knowledge are important factors to consider for a surgeon's learning curve.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2022)

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Review Surgery

Robotic versus laparoscopic inguinal hernia repair: an updated systematic review and meta-analysis

Leonardo Solaini et al.

Summary: The study comparing robotic and laparoscopic approaches for inguinal hernia repair found similar safety parameters and postoperative outcomes, with robotic surgery possibly requiring longer operative time. Additionally, costs were higher in the robotic group.

JOURNAL OF ROBOTIC SURGERY (2022)

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Article Surgery

Transition from laparoscopic to robotic rectal resection: outcomes and learning curve of the initial 100 cases

Pim B. Olthof et al.

Summary: This study compared the outcomes of the first 100 robotic rectal resections to laparoscopic approach, finding that robotic cases had shorter operative time and lower morbidity rates compared to laparoscopic cases.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2021)

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Article Surgery

The effect of learning curve on perioperative outcomes of robotic gastrectomy in two western high-volume centers

Leonardo Solaini et al.

Summary: The study compared the outcomes of robotic gastrectomy during the learning curve and after its completion, and found that during the learning curve, conversion to open surgery was more frequent, more D2 lymphadenectomies were performed, and patients were discharged earlier.

INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY (2021)

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Article Surgery

Learning curve of robotic-assisted transabdominal preperitoneal repair (rTAPP) for inguinal hernias

Francesco Proietti et al.

Summary: This study found that experienced laparoscopists performing rTAPP require 43 procedures to achieve 90% proficiency and significantly reduce operative time. During the learning curve, there was a decrease in operative time and occurrence of complications compared to after the learning curve.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2021)

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Article Surgery

Does the learning curve in robotic rectal cancer surgery impact circumferential resection margin involvement and reoperation rates? A risk-adjusted cumulative sum analysis

Mahir Gachabayov et al.

Summary: The study evaluated the impact of surgeons' learning curve in robotic surgery for rectal cancer on circumferential resection margin (CRM) involvement and reoperation rates. Results showed a continued significant decrease in CRM involvement and reoperation rates throughout the learning curve.

MINERVA SURGERY (2021)

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Article Surgery

Transabdominal preperitoneal (TAPP) inguinal hernia repair: how we do it

Jorge Farell Rivas et al.

Summary: Inguinal hernia repair is a common procedure worldwide, and laparoscopic hernia repair is effective when critical principles are followed correctly. The success of the surgery depends on the surgeon's anatomical knowledge, skill, and experience. This text provides a detailed description of the technique for accurate laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair, with tips and tricks, along with visual aids for the reader to follow. It emphasizes the importance of continuous training, mentoring, and utilizing various resources for skill improvement.

ANNALS OF LAPAROSCOPIC AND ENDOSCOPIC SURGERY (2021)

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