Learning Curve, Training Program, and Monitorization of Surgical Performance of Peritoneal Surface Malignancies Centers

被引：31

作者：

Kusamura, Shigeki ^{[1
]}

Gonzalez-Moreno, Santiago ^{[2
]}

Nizri, Eran ^{[3
]}

Baratti, Dario ^{[1
]}

Guadagni, Stefano ^{[4
]}

Guaglio, Marcello ^{[1
]}

Battaglia, Luigi ^{[5
]}

Deraco, Marcello ^{[1
]}

机构：

[1] Fdn IRCCS Ist Nazl Tumori Milano, Peritoneal Surface Malignancies Unit, Via Venezian 1, I-20133 Milan, Italy

[2] MD Anderson Canc Ctr, Surg Oncol, Calle Arturo Soria 270, Madrid, Spain

[3] Tel Aviv Univ, Dept Gen Surg, Tel Aviv Sourasky Med Ctr, Sackler Fac Med, Weizmann St 6, Tel Aviv, Israel

[4] Univ Aquila, Dept Biotechnol & Appl Clin Sci, Via Giovanni Vincenzo,16-B, Laquila, Italy

[5] Fdn IRCCS Ist Nazl Tumori Milano, Colorectal Canc Unit, Via Venezian 1, I-20133 Milan, MI, Italy

来源：

SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA | 2018年 / 27卷 / 03期

关键词：

Cytoreductive surgery; HIPEC; Learning curve; Surgical training; Surgical performance; HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY; CONTROL CHART METHODS; RISK-ADJUSTED CUSUM; CYTOREDUCTIVE SURGERY; PSEUDOMYXOMA PERITONEI; COLORECTAL-CANCER; OVARIAN-CANCER; CARCINOMATOSIS; MORTALITY; MORBIDITY;

D O I：

10.1016/j.soc.2018.02.009

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy is a complex procedure with high cost and significant morbidity and mortality. The associated learning curve is steep and could reliably be evaluated using specific statistics. Risk-adjusted sequential probability ratio test is an effective and robust method to monitor surgical performance in the learning and audit phase of a peritoneal surface malignancies center development. The most critical factor associated with surgical performance is mentoring of the trainee by an expert. A well-structured tutor-based training program has been implemented in Europe. This initiative will improve the standardization of the combined procedure and improve quality of services across the continent.

引用

页码：507 / +

页数：13

共 33 条

[1] Cytoreductive surgery plus perioperative intraperitoneal chemotherapy in pseudomyxoma peritonei: Aspects of the learning curve [J].

Andreasson, H. ;

Lorant, T. ;

Pahlman, L. ;

Graf, W. ;

Mahteme, H. .

EJSO, 2014, 40 (08) :930-936

[2] The impact of stage, grade, and mucinous histology on the efficacy of systemic chemotherapy in adenocarcinomas of the appendix: Analysis of the National Cancer Data Base [J].

Asare, Elliot A. ;

Compton, Carolyn C. ;

Hanna, Nader N. ;

Kosinski, Lauren A. ;

Washington, Mary Kay ;

Kakar, Sanjay ;

Weiser, Martin R. ;

Overman, Michael J. .

CANCER, 2016, 122 (02) :213-221

[3] Transplant center quality assessment using a continuously updatable, risk-adjusted technique (CUSUM) [J].

Axelrod, DA ;

Guidinger, MK ;

Metzger, RA ;

Wiesner, RH ;

Webb, RL ;

Merion, RM .

AMERICAN JOURNAL OF TRANSPLANTATION, 2006, 6 (02) :313-323

[4] Cost analysis of the combined procedure of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) [J].

Baratti, D. ;

Scivales, A. ;

Balestra, M. R. ;

Ponzi, P. ;

Di Stasi, F. ;

Kusamura, S. ;

Laterza, B. ;

Deraco, M. .

EJSO, 2010, 36 (05) :463-469

[5] Progress in treatments for colorectal cancer peritoneal metastases during the years 2010-2015. A systematic review [J].

Baratti, Dario ;

Kusamura, Shigeki ;

Pietrantonio, Filippo ;

Guaglio, Marcello ;

Niger, Monica ;

Deraco, Marcello .

CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY, 2016, 100 :209-222

[6] Diffuse Malignant Peritoneal Mesothelioma: Systematic Review of Clinical Management and Biological Research [J].

Baratti, Dario ;

Kusamura, Shigeki ;

Deraco, Marcello .

JOURNAL OF SURGICAL ONCOLOGY, 2011, 103 (08) :822-831

[7] Pseudomyxoma Peritonei Biological Features Are the Dominant Prognostic Determinants After Complete Cytoreduction and Hyperthermic Intraperitoneal Chemotherapy [J].

Baratti, Dario ;

Kusamura, Shigeki ;

Nonaka, Daisuke ;

Cabras, Antonello Domenico ;

Laterza, Barbara ;

Deraco, Marcello .

ANNALS OF SURGERY, 2009, 249 (02) :243-249

[8] Cost of an intraperitoneal chemohyperthermia (IPCH) related to cytoreductive surgery [J].

Bonastre, J ;

Jan, P ;

de Pouvourville, G ;

Pocard, M ;

Estphan, G ;

Elias, D .

ANNALES DE CHIRURGIE, 2005, 130 (09) :553-561

[9] The use of statistical process control (risk-adjusted CUSUM, risk-adjusted RSPRT and CRAM with prediction limits) for monitoring the outcomes of out-of-hospital cardiac arrest patients rescued by the EMS system [J].

Chen, Tsung-Tai ;

Chung, Kuo-Piao ;

Hu, Fu-Chang ;

Fan, Chieh-Min ;

Yang, Ming-Chin .

JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2011, 17 (01) :71-77

[10] Early- and Long-Term Outcome Data of Patients With Pseudomyxoma Peritonei From Appendiceal Origin Treated by a Strategy of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy [J].

Chua, Terence C. ;

Moran, Brendan J. ;

Sugarbaker, Paul H. ;

Levine, Edward A. ;

Glehen, Olivier ;

Gilly, Francois N. ;

Baratti, Dario ;

Deraco, Marcello ;

Elias, Dominique ;

Sardi, Armando ;

Liauw, Winston ;

Yan, Tristan D. ;

Barrios, Pedro ;

Gomez Portilla, Alberto ;

de Hingh, Ignace H. J. T. ;

Ceelen, Wim P. ;

Pelz, Joerg O. ;

Piso, Pompiliu ;

Gonzalez-Moreno, Santiago ;

Van der Speeten, Kurt ;

Morris, David L. .

JOURNAL OF CLINICAL ONCOLOGY, 2012, 30 (20) :2449-2456

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