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179094

Calculating the learning cunre for laparoscopic splenectomy

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Last updated: 28 Dec 2024

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Abstract

Background & objectives: Laparoscopic  splenectomy had become the golden standard for elective splenectomy, as it is feasible, safe and provides many advantages to the patients in comparison to open splenectomy. However, a learning curve exists for mastering the procedure and defining will be helpful in designing a training program for laparoscopic splenectomy. Methods: 57 patients underwent elective laparoscopic splenectomy for different indications in our hospital between August 2011 and September 2013. Patients' data whether preoperative, operative or postoperative  were collected, subdivided in 10 cases groups and certain outcome measures were statistically analyzed to identify the learning curve. Results:  Laparoscopic  splenectomy was done for all patients. The mean operative times in the 3rd, 4th, 5th and 6th groups were significantly shorter than the 1st and 2nd groups. There was a trend toward decreased  blood loss in the latter groups (3rd, 4th, 5th and 61h), and the differences  between them  and the first two groups were statistically  significant. There was a trend of high postoperative  complications and conversion rate in the first group in relation to the other groups, but a statistically significant difference between groups couldn't be found. Similarly, there was a trend towards decreased period of ileus with the consecutive groups; but a statistically significant difference couldn t be shown.  A statistically  significant difference in hospital stay was found between the consecutive groups. The results showed that the outcome measures were seen to improve with the advancement of the experience with a plateau reached after 20-30 cases oflaparoscopic splenectomy. Conclusion: Laparoscopic  splenectomy  can be done  safely by experienced  laparoscopic surgeons. A learning curve for mastering the procedure is 20-30 cases, after which the outcome parameters nearly reaches a plateau.

DOI

10.21608/asjs.2014.179094

Authors

First Name

Ahmed

Last Name

Kamal

MiddleName

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Affiliation

Department of General surgery, Ain Shams University, Cairo, Egypt.

Email

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Orcid

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First Name

Hamed

Last Name

Abo Steit

MiddleName

-

Affiliation

Department of General surgery, Ain Shams University, Cairo, Egypt.

Email

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City

-

Orcid

-

First Name

Haitham

Last Name

Elmaleh

MiddleName

-

Affiliation

Department of General surgery, Ain Shams University, Cairo, Egypt.

Email

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City

-

Orcid

-

First Name

Ahmed

Last Name

Elnabil

MiddleName

-

Affiliation

Department of General surgery, Ain Shams University, Cairo, Egypt.

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-

Orcid

-

Volume

7

Article Issue

2

Related Issue

25658

Issue Date

2014-07-01

Receive Date

2021-06-21

Publish Date

2014-07-01

Page Start

281

Page End

287

Print ISSN

2090-7249

Online ISSN

3009-7509

Link

https://asjs.journals.ekb.eg/article_179094.html

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https://asjs.journals.ekb.eg/service?article_code=179094

Order

7

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Calculating the learning cunre for laparoscopic splenectomy

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Article

Created At

23 Jan 2023