Influence of learning curve on short-term results after laparoscopic resection for rectal cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-02

AUTHORS

Masaaki Ito, Masanori Sugito, Akihiro Kobayashi, Yusuke Nishizawa, Yoshiyuki Tsunoda, Norio Saito

ABSTRACT

BACKGROUND: Technical difficulties have been encountered in laparoscopic surgery for the treatment of rectal cancer. There are fewer studies about the learning curve for laparoscopic rectal resection. METHODS: Between June 1995 and August 2007, 200 patients who were scheduled to undergo laparoscopic rectal resection for rectal cancer were enrolled in the study. Each surgeon's operative experience was divided into three groups: 1-20 cases, 21-40 cases, and 41 or more cases. Furthermore, patients were divided chronologically into four groups of 50 patients each. This report describes the association between the learning curves (surgeon's experience and team's experience) and short-term outcomes such as operating time, complication rate, and hospital stay in the case of laparoscopic resection for rectal cancer. We also analyzed how the learning curve influences several postoperative outcomes compared with other clinical factors. RESULTS: The team's experience was not associated with short-term results except for surgical site infection (SSI). On the other hand, surgeon's experience was associated with mean operating time and SSI rate. The endpoints of the learning curve for reducing mean operating time and SSI rate were defined as 40 and 20 cases of laparoscopic rectal resection. In contrast, anastomotic leakage was not associated with surgeon's experience and showed the greatest correlation with total mesorectal excision (TME). CONCLUSION: Surgeon's learning improved operating time and SSI. On the other hand, low level of anastomosis accompanied with TME was strongly related with leakage, and the association between leakage and surgeon's learning was not clearly demonstrated. More... »

PAGES

403-408

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-008-9912-1

DOI

http://dx.doi.org/10.1007/s00464-008-9912-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1051666862

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18401643


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Body Mass Index", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Clinical Competence", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Cohort Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Laparoscopy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Length of Stay", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Rectal Neoplasms", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Retrospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Risk Factors", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Time Factors", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Treatment Outcome", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "National Cancer Center Hospital East", 
          "id": "https://www.grid.ac/institutes/grid.497282.2", 
          "name": [
            "Department of Colorectal and Pelvic Surgery, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ito", 
        "givenName": "Masaaki", 
        "id": "sg:person.011006743562.77", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011006743562.77"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "National Cancer Center Hospital East", 
          "id": "https://www.grid.ac/institutes/grid.497282.2", 
          "name": [
            "Department of Colorectal and Pelvic Surgery, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Sugito", 
        "givenName": "Masanori", 
        "id": "sg:person.0761346771.51", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0761346771.51"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "National Cancer Center Hospital East", 
          "id": "https://www.grid.ac/institutes/grid.497282.2", 
          "name": [
            "Department of Colorectal and Pelvic Surgery, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kobayashi", 
        "givenName": "Akihiro", 
        "id": "sg:person.0611475774.31", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0611475774.31"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "National Cancer Center Hospital East", 
          "id": "https://www.grid.ac/institutes/grid.497282.2", 
          "name": [
            "Department of Colorectal and Pelvic Surgery, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Nishizawa", 
        "givenName": "Yusuke", 
        "id": "sg:person.01032126713.57", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01032126713.57"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "National Cancer Center Hospital East", 
          "id": "https://www.grid.ac/institutes/grid.497282.2", 
          "name": [
            "Department of Colorectal and Pelvic Surgery, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Tsunoda", 
        "givenName": "Yoshiyuki", 
        "id": "sg:person.01150704745.65", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01150704745.65"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "National Cancer Center Hospital East", 
          "id": "https://www.grid.ac/institutes/grid.497282.2", 
          "name": [
            "Department of Colorectal and Pelvic Surgery, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Saito", 
        "givenName": "Norio", 
        "id": "sg:person.01100314172.30", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01100314172.30"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/s00464-005-0081-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000772482", 
          "https://doi.org/10.1007/s00464-005-0081-1"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0081-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000772482", 
          "https://doi.org/10.1007/s00464-005-0081-1"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-200008000-00005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003889751"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-200008000-00005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003889751"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-200008000-00005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003889751"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1365-2168.1998.00615.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008799164"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s002689900044", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009751742", 
          "https://doi.org/10.1007/s002689900044"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-200303000-00006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010051206"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000055270.48242.d2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010357644"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000055270.48242.d2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010357644"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000055270.48242.d2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010357644"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(05)66545-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011532542"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(05)66545-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011532542"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejmoa032651", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013528776"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1470-2045(05)70221-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015781205"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf02234296", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021515333", 
          "https://doi.org/10.1007/bf02234296"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1007/bf02234296", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021515333"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1007/bf02234296", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021515333"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0599-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023446981", 
          "https://doi.org/10.1007/s00464-005-0599-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0599-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023446981", 
          "https://doi.org/10.1007/s00464-005-0599-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-200212000-00008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024776650"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-200212000-00008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024776650"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1463-1318.2004.00700.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026745704"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1463-1318.2004.00657.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034414088"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf02053800", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035053875", 
          "https://doi.org/10.1007/bf02053800"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1007/bf02053800", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035053875"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1007/bf02053800", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035053875"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10350-006-0598-y", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036848102", 
          "https://doi.org/10.1007/s10350-006-0598-y"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1007/s10350-006-0598-y", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036848102"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1245/s10434-006-9209-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042191818", 
          "https://doi.org/10.1245/s10434-006-9209-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-001-8314-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046450293", 
          "https://doi.org/10.1007/s00464-001-8314-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf00210923", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048513801", 
          "https://doi.org/10.1007/bf00210923"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf00210923", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048513801", 
          "https://doi.org/10.1007/bf00210923"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-002-8877-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050353774", 
          "https://doi.org/10.1007/s00464-002-8877-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.4052", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051490188"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199806000-00003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134795"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199806000-00003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134795"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199806000-00003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134795"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2009-02", 
    "datePublishedReg": "2009-02-01", 
    "description": "BACKGROUND: Technical difficulties have been encountered in laparoscopic surgery for the treatment of rectal cancer. There are fewer studies about the learning curve for laparoscopic rectal resection.\nMETHODS: Between June 1995 and August 2007, 200 patients who were scheduled to undergo laparoscopic rectal resection for rectal cancer were enrolled in the study. Each surgeon's operative experience was divided into three groups: 1-20 cases, 21-40 cases, and 41 or more cases. Furthermore, patients were divided chronologically into four groups of 50 patients each. This report describes the association between the learning curves (surgeon's experience and team's experience) and short-term outcomes such as operating time, complication rate, and hospital stay in the case of laparoscopic resection for rectal cancer. We also analyzed how the learning curve influences several postoperative outcomes compared with other clinical factors.\nRESULTS: The team's experience was not associated with short-term results except for surgical site infection (SSI). On the other hand, surgeon's experience was associated with mean operating time and SSI rate. The endpoints of the learning curve for reducing mean operating time and SSI rate were defined as 40 and 20 cases of laparoscopic rectal resection. In contrast, anastomotic leakage was not associated with surgeon's experience and showed the greatest correlation with total mesorectal excision (TME).\nCONCLUSION: Surgeon's learning improved operating time and SSI. On the other hand, low level of anastomosis accompanied with TME was strongly related with leakage, and the association between leakage and surgeon's learning was not clearly demonstrated.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s00464-008-9912-1", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1098220", 
        "issn": [
          "0930-2794", 
          "1432-2218"
        ], 
        "name": "Surgical Endoscopy", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "2", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "23"
      }
    ], 
    "name": "Influence of learning curve on short-term results after laparoscopic resection for rectal cancer", 
    "pagination": "403-408", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "f61d88d1070b067cc4f1c1b6dbfb0f1ac9a76fd09d0c67b893946466fcccc54b"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "18401643"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8806653"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00464-008-9912-1"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1051666862"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00464-008-9912-1", 
      "https://app.dimensions.ai/details/publication/pub.1051666862"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T14:28", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000373_0000000373/records_13078_00000001.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1007/s00464-008-9912-1"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00464-008-9912-1'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00464-008-9912-1'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00464-008-9912-1'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00464-008-9912-1'


 

This table displays all metadata directly associated to this object as RDF triples.

241 TRIPLES      21 PREDICATES      67 URIs      34 LITERALS      22 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00464-008-9912-1 schema:about N00446fbf09dc4dc78cfde04687684cc0
2 N03088d7476f647b2b7ebfec73a3f6c37
3 N070dda57fbb34c75a1e4da69b145ed50
4 N0da61ac0a90945ba9d7445f675cb389d
5 N10d59ad4bf264f8b8d575f2450f071e2
6 N1d383bc88035429c9d8f612cba7de727
7 N47ce2ead3272406ea13418cb314c22fb
8 N708e35daf14a42148939c7182e7437e4
9 N725d57fc828345aaa628aca0dba0ea21
10 N833d02b4e6ce4d67a266caec708faea8
11 Nbe44b3542f644af4863a500e8431ce5b
12 Ndee38947cd2242a39cdcc390e96eba7d
13 Ne79fbd4f78834e79b7ead72b0545eb1c
14 anzsrc-for:11
15 anzsrc-for:1103
16 schema:author N9134002c5692489c94388939cbc12df1
17 schema:citation sg:pub.10.1007/bf00210923
18 sg:pub.10.1007/bf02053800
19 sg:pub.10.1007/bf02234296
20 sg:pub.10.1007/s002689900044
21 sg:pub.10.1007/s00464-001-8314-4
22 sg:pub.10.1007/s00464-002-8877-8
23 sg:pub.10.1007/s00464-005-0081-1
24 sg:pub.10.1007/s00464-005-0599-2
25 sg:pub.10.1007/s10350-006-0598-y
26 sg:pub.10.1245/s10434-006-9209-3
27 https://doi.org/10.1002/bjs.4052
28 https://doi.org/10.1007/bf02053800
29 https://doi.org/10.1007/bf02234296
30 https://doi.org/10.1007/s10350-006-0598-y
31 https://doi.org/10.1016/s0140-6736(05)66545-2
32 https://doi.org/10.1016/s1470-2045(05)70221-7
33 https://doi.org/10.1046/j.1365-2168.1998.00615.x
34 https://doi.org/10.1056/nejmoa032651
35 https://doi.org/10.1097/00000658-199806000-00003
36 https://doi.org/10.1097/00000658-200008000-00005
37 https://doi.org/10.1097/00000658-200212000-00008
38 https://doi.org/10.1097/00000658-200303000-00006
39 https://doi.org/10.1097/01.sla.0000055270.48242.d2
40 https://doi.org/10.1111/j.1463-1318.2004.00657.x
41 https://doi.org/10.1111/j.1463-1318.2004.00700.x
42 schema:datePublished 2009-02
43 schema:datePublishedReg 2009-02-01
44 schema:description BACKGROUND: Technical difficulties have been encountered in laparoscopic surgery for the treatment of rectal cancer. There are fewer studies about the learning curve for laparoscopic rectal resection. METHODS: Between June 1995 and August 2007, 200 patients who were scheduled to undergo laparoscopic rectal resection for rectal cancer were enrolled in the study. Each surgeon's operative experience was divided into three groups: 1-20 cases, 21-40 cases, and 41 or more cases. Furthermore, patients were divided chronologically into four groups of 50 patients each. This report describes the association between the learning curves (surgeon's experience and team's experience) and short-term outcomes such as operating time, complication rate, and hospital stay in the case of laparoscopic resection for rectal cancer. We also analyzed how the learning curve influences several postoperative outcomes compared with other clinical factors. RESULTS: The team's experience was not associated with short-term results except for surgical site infection (SSI). On the other hand, surgeon's experience was associated with mean operating time and SSI rate. The endpoints of the learning curve for reducing mean operating time and SSI rate were defined as 40 and 20 cases of laparoscopic rectal resection. In contrast, anastomotic leakage was not associated with surgeon's experience and showed the greatest correlation with total mesorectal excision (TME). CONCLUSION: Surgeon's learning improved operating time and SSI. On the other hand, low level of anastomosis accompanied with TME was strongly related with leakage, and the association between leakage and surgeon's learning was not clearly demonstrated.
45 schema:genre research_article
46 schema:inLanguage en
47 schema:isAccessibleForFree false
48 schema:isPartOf N9087fe3330de434ab2ca584d9a9fe634
49 Nb55791ae786a47c1aa1e421f8d44bdc8
50 sg:journal.1098220
51 schema:name Influence of learning curve on short-term results after laparoscopic resection for rectal cancer
52 schema:pagination 403-408
53 schema:productId N0a788cfda931479cb2632946822ac219
54 N115c1085f1b84586aed528e692a5fda7
55 N1f94d96aa8df4791abb0a072989913ce
56 N71b6722c519c4fec96b3eb07d6f6d808
57 Nd345834e758f4c2986982e58698fd91b
58 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051666862
59 https://doi.org/10.1007/s00464-008-9912-1
60 schema:sdDatePublished 2019-04-11T14:28
61 schema:sdLicense https://scigraph.springernature.com/explorer/license/
62 schema:sdPublisher N1e0466a93a484006beca734db1af8437
63 schema:url http://link.springer.com/10.1007/s00464-008-9912-1
64 sgo:license sg:explorer/license/
65 sgo:sdDataset articles
66 rdf:type schema:ScholarlyArticle
67 N00446fbf09dc4dc78cfde04687684cc0 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
68 schema:name Time Factors
69 rdf:type schema:DefinedTerm
70 N03088d7476f647b2b7ebfec73a3f6c37 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
71 schema:name Laparoscopy
72 rdf:type schema:DefinedTerm
73 N070dda57fbb34c75a1e4da69b145ed50 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
74 schema:name Rectal Neoplasms
75 rdf:type schema:DefinedTerm
76 N0a788cfda931479cb2632946822ac219 schema:name dimensions_id
77 schema:value pub.1051666862
78 rdf:type schema:PropertyValue
79 N0da61ac0a90945ba9d7445f675cb389d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
80 schema:name Retrospective Studies
81 rdf:type schema:DefinedTerm
82 N10d59ad4bf264f8b8d575f2450f071e2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
83 schema:name Clinical Competence
84 rdf:type schema:DefinedTerm
85 N115c1085f1b84586aed528e692a5fda7 schema:name pubmed_id
86 schema:value 18401643
87 rdf:type schema:PropertyValue
88 N1d383bc88035429c9d8f612cba7de727 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
89 schema:name Treatment Outcome
90 rdf:type schema:DefinedTerm
91 N1e0466a93a484006beca734db1af8437 schema:name Springer Nature - SN SciGraph project
92 rdf:type schema:Organization
93 N1f94d96aa8df4791abb0a072989913ce schema:name readcube_id
94 schema:value f61d88d1070b067cc4f1c1b6dbfb0f1ac9a76fd09d0c67b893946466fcccc54b
95 rdf:type schema:PropertyValue
96 N252ca6702d7a4a0dae35a7992c6a5ae7 rdf:first sg:person.0761346771.51
97 rdf:rest N39efd76cd2b3474aa74b2afeba79575f
98 N39efd76cd2b3474aa74b2afeba79575f rdf:first sg:person.0611475774.31
99 rdf:rest N3c32d86e1fb24b19a7ae90fbbd09ba1e
100 N3c32d86e1fb24b19a7ae90fbbd09ba1e rdf:first sg:person.01032126713.57
101 rdf:rest N8856041bdab74df29896ef1752f236b4
102 N47ce2ead3272406ea13418cb314c22fb schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
103 schema:name Cohort Studies
104 rdf:type schema:DefinedTerm
105 N551b2e9767fb4da99a2b0ba0dcdbfa4b rdf:first sg:person.01100314172.30
106 rdf:rest rdf:nil
107 N708e35daf14a42148939c7182e7437e4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
108 schema:name Female
109 rdf:type schema:DefinedTerm
110 N71b6722c519c4fec96b3eb07d6f6d808 schema:name nlm_unique_id
111 schema:value 8806653
112 rdf:type schema:PropertyValue
113 N725d57fc828345aaa628aca0dba0ea21 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
114 schema:name Length of Stay
115 rdf:type schema:DefinedTerm
116 N833d02b4e6ce4d67a266caec708faea8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
117 schema:name Body Mass Index
118 rdf:type schema:DefinedTerm
119 N8856041bdab74df29896ef1752f236b4 rdf:first sg:person.01150704745.65
120 rdf:rest N551b2e9767fb4da99a2b0ba0dcdbfa4b
121 N9087fe3330de434ab2ca584d9a9fe634 schema:volumeNumber 23
122 rdf:type schema:PublicationVolume
123 N9134002c5692489c94388939cbc12df1 rdf:first sg:person.011006743562.77
124 rdf:rest N252ca6702d7a4a0dae35a7992c6a5ae7
125 Nb55791ae786a47c1aa1e421f8d44bdc8 schema:issueNumber 2
126 rdf:type schema:PublicationIssue
127 Nbe44b3542f644af4863a500e8431ce5b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
128 schema:name Risk Factors
129 rdf:type schema:DefinedTerm
130 Nd345834e758f4c2986982e58698fd91b schema:name doi
131 schema:value 10.1007/s00464-008-9912-1
132 rdf:type schema:PropertyValue
133 Ndee38947cd2242a39cdcc390e96eba7d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
134 schema:name Male
135 rdf:type schema:DefinedTerm
136 Ne79fbd4f78834e79b7ead72b0545eb1c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
137 schema:name Humans
138 rdf:type schema:DefinedTerm
139 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
140 schema:name Medical and Health Sciences
141 rdf:type schema:DefinedTerm
142 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
143 schema:name Clinical Sciences
144 rdf:type schema:DefinedTerm
145 sg:journal.1098220 schema:issn 0930-2794
146 1432-2218
147 schema:name Surgical Endoscopy
148 rdf:type schema:Periodical
149 sg:person.01032126713.57 schema:affiliation https://www.grid.ac/institutes/grid.497282.2
150 schema:familyName Nishizawa
151 schema:givenName Yusuke
152 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01032126713.57
153 rdf:type schema:Person
154 sg:person.01100314172.30 schema:affiliation https://www.grid.ac/institutes/grid.497282.2
155 schema:familyName Saito
156 schema:givenName Norio
157 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01100314172.30
158 rdf:type schema:Person
159 sg:person.011006743562.77 schema:affiliation https://www.grid.ac/institutes/grid.497282.2
160 schema:familyName Ito
161 schema:givenName Masaaki
162 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011006743562.77
163 rdf:type schema:Person
164 sg:person.01150704745.65 schema:affiliation https://www.grid.ac/institutes/grid.497282.2
165 schema:familyName Tsunoda
166 schema:givenName Yoshiyuki
167 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01150704745.65
168 rdf:type schema:Person
169 sg:person.0611475774.31 schema:affiliation https://www.grid.ac/institutes/grid.497282.2
170 schema:familyName Kobayashi
171 schema:givenName Akihiro
172 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0611475774.31
173 rdf:type schema:Person
174 sg:person.0761346771.51 schema:affiliation https://www.grid.ac/institutes/grid.497282.2
175 schema:familyName Sugito
176 schema:givenName Masanori
177 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0761346771.51
178 rdf:type schema:Person
179 sg:pub.10.1007/bf00210923 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048513801
180 https://doi.org/10.1007/bf00210923
181 rdf:type schema:CreativeWork
182 sg:pub.10.1007/bf02053800 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035053875
183 https://doi.org/10.1007/bf02053800
184 rdf:type schema:CreativeWork
185 sg:pub.10.1007/bf02234296 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021515333
186 https://doi.org/10.1007/bf02234296
187 rdf:type schema:CreativeWork
188 sg:pub.10.1007/s002689900044 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009751742
189 https://doi.org/10.1007/s002689900044
190 rdf:type schema:CreativeWork
191 sg:pub.10.1007/s00464-001-8314-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046450293
192 https://doi.org/10.1007/s00464-001-8314-4
193 rdf:type schema:CreativeWork
194 sg:pub.10.1007/s00464-002-8877-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050353774
195 https://doi.org/10.1007/s00464-002-8877-8
196 rdf:type schema:CreativeWork
197 sg:pub.10.1007/s00464-005-0081-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000772482
198 https://doi.org/10.1007/s00464-005-0081-1
199 rdf:type schema:CreativeWork
200 sg:pub.10.1007/s00464-005-0599-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023446981
201 https://doi.org/10.1007/s00464-005-0599-2
202 rdf:type schema:CreativeWork
203 sg:pub.10.1007/s10350-006-0598-y schema:sameAs https://app.dimensions.ai/details/publication/pub.1036848102
204 https://doi.org/10.1007/s10350-006-0598-y
205 rdf:type schema:CreativeWork
206 sg:pub.10.1245/s10434-006-9209-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042191818
207 https://doi.org/10.1245/s10434-006-9209-3
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1002/bjs.4052 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051490188
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1007/bf02053800 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035053875
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1007/bf02234296 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021515333
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1007/s10350-006-0598-y schema:sameAs https://app.dimensions.ai/details/publication/pub.1036848102
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1016/s0140-6736(05)66545-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011532542
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1016/s1470-2045(05)70221-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015781205
220 rdf:type schema:CreativeWork
221 https://doi.org/10.1046/j.1365-2168.1998.00615.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1008799164
222 rdf:type schema:CreativeWork
223 https://doi.org/10.1056/nejmoa032651 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013528776
224 rdf:type schema:CreativeWork
225 https://doi.org/10.1097/00000658-199806000-00003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060134795
226 rdf:type schema:CreativeWork
227 https://doi.org/10.1097/00000658-200008000-00005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003889751
228 rdf:type schema:CreativeWork
229 https://doi.org/10.1097/00000658-200212000-00008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024776650
230 rdf:type schema:CreativeWork
231 https://doi.org/10.1097/00000658-200303000-00006 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010051206
232 rdf:type schema:CreativeWork
233 https://doi.org/10.1097/01.sla.0000055270.48242.d2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010357644
234 rdf:type schema:CreativeWork
235 https://doi.org/10.1111/j.1463-1318.2004.00657.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1034414088
236 rdf:type schema:CreativeWork
237 https://doi.org/10.1111/j.1463-1318.2004.00700.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1026745704
238 rdf:type schema:CreativeWork
239 https://www.grid.ac/institutes/grid.497282.2 schema:alternateName National Cancer Center Hospital East
240 schema:name Department of Colorectal and Pelvic Surgery, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, 277-8577, Kashiwa, Chiba, Japan
241 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...