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Learning curve of laparoscopic and robotic pancreas resections: A systematic review

Surgery Feb 07, 2021

Chan KS, Wang ZK, Syn N, et al. - Given the association of minimally invasive pancreatic resection with a long learning curve, researchers sought to report the current evidence on the learning curve of minimally invasive pancreatic resection and describe the number of cases needed to surmount the learning curve. Performing a systematic search on PubMed, Embase, Scopus, and the Cochrane database, they identified 32 studies for inclusion in the pooled analysis: 12 on laparoscopic pancreatoduodenectomy, 9 on robotic pancreatoduodenectomy, 12 on laparoscopic distal pancreatectomy, and 3 on robotic distal pancreatectomy. Nonarbitrary methods of analysis were used in six of 12 studies and seven of nine studies in laparoscopic pancreatoduodenectomy and robotic pancreatoduodenectomy, respectively. Four of 12 studies in laparoscopic pancreatoduodenectomy and 5 of 9 studies in robotic pancreatoduodenectomy used operating time as the single outcome measure. No significant difference was identified between the learning curve for robotic pancreatoduodenectomy vs laparoscopic pancreatoduodenectomy and robotic distal pancreatectomy vs laparoscopic distal pancreatectomy.

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