A Retrospective, Single-Centre Study on the Learning Curve for Liver Tumor Open Resection in Patients with Hepatocellular Cancers and Intrahepatic Cholagangiocarcinomas

被引:1
作者
Banas, Bartlomiej [1 ]
Kolodziejczyk, Piotr [1 ]
Czerw, Aleksandra [2 ,3 ]
Banas, Tomasz [4 ,5 ]
Kotwas, Artur [6 ]
Richter, Piotr [1 ]
机构
[1] Jagiellonian Univ Coll Med, Dept Surg 1, PL-30688 Krakow, Poland
[2] Med Univ Warsaw, Dept Hlth Econ & Med Law, PL-02091 Warsaw, Poland
[3] Natl Inst Publ Hlth, Natl Res Inst, Dept Econ & Syst Analyses, NIH, PL-791 Warsaw, Poland
[4] Jagiellonian Univ Coll Med, Dept Gynaecol & Oncol, PL-31501 Krakow, Poland
[5] Maria Sklodowska Curie Inst, Dept Radiotherapy, Ctr Oncol, PL-30688 Krakow, Poland
[6] Pomeranian Med Univ, Dept Social Med, Dept Social Med & Publ Hlth, PL-71210 Szczecin, Poland
关键词
hemihepatectomy; hepatocellular carcinoma (HCC); intrahepatic cholangiocarcinoma (ICC); learning curve; RISK-FACTORS; CARCINOMA; DIAGNOSIS;
D O I
10.3390/ijerph19084872
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Background: Liver resections have become the first-line treatment for primary malignant tumors and, therefore, are considered a core aspect of surgical training. This study aims to evaluate the learning curve for the safety of open hemihepatectomy procedures for patients suffering from hepatocellular carcinoma (HCC) or intrahepatic cholangiocarcinoma (ICC). Methods: This single tertiary center retrospective analysis includes 81 consecutive cases of right or left hemihepatectmy. A cumulative sum (CUSUM) control chart was used to investigate the learning curve. Results: The CUSUM curve for operative time and blood loss level peaked at the 29th and 30th case, respectively. The CUSUM curve for minor adverse effects (mAEs) and severe adverse effects (sAEs) showed a downward slope after the 27th and 36th procedures; the curve, however, remained within the acceptable range throughout the entire study. Conclusion: When performing open hemihepatectomies in patients with HCC and ICC, the stabilization of the operative time and intraoperative blood loss level are gained earlier than sAEs risk reduction.
引用
收藏
页数:8
相关论文
共 28 条
  • [1] Banas B., 2019, PRZEGLAD LEK, V76, P101
  • [2] Learning Curve for Metastatic Liver Tumor Open Resection in Patients with Primary Colorectal Cancer: Use of the Cumulative Sum Method
    Banas, Bartlomiej
    Gwizdak, Piotr
    Zabielska, Paulina
    Kolodziejczyk, Piotr
    Richter, Piotr
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2022, 19 (03)
  • [3] Chan FKM, 2016, SURG LAPARO ENDO PER, V26, pE41, DOI 10.1097/SLE.0000000000000272
  • [4] Classification of surgical complications - A new proposal with evaluation in a cohort of 6336 patients and results of a survey
    Dindo, D
    Demartines, N
    Clavien, PA
    [J]. ANNALS OF SURGERY, 2004, 240 (02) : 205 - 213
  • [5] Outcomes of robotic-assisted liver surgery versus laparoscopic liver surgery for treatment of stage I hepatocellular carcinoma
    Duong, Linh M.
    Cai, Hui
    Shrubsole, Martha J.
    Bailey, Christina E.
    Idrees, Kamran
    Shu, Xiao-Ou
    [J]. CANCER, 2022, 128 (04) : 762 - 769
  • [6] European Assoc Study Liver, 2012, EUR J CANCER, V48, P599, DOI [10.1016/j.ejca.2011.12.021, 10.1016/j.jhep.2011.12.001]
  • [7] Risk factors and prevention of hepatocellular carcinoma in the era of precision medicine
    Fujiwara, Naoto
    Friedman, Scott L.
    Goossens, Nicolas
    Hoshida, Yujin
    [J]. JOURNAL OF HEPATOLOGY, 2018, 68 (03) : 526 - 549
  • [8] Hepatocellular carcinoma: From diagnosis to treatment
    Grandhi, Miral Sadaria
    Kim, Amy K.
    Ronnekleiv-Kelly, Sean M.
    Kamel, Ihab R.
    Ghasebeh, Mounes A.
    Pawlik, Timothy M.
    [J]. SURGICAL ONCOLOGY-OXFORD, 2016, 25 (02): : 74 - 85
  • [9] Learning Curve in Laparoscopic Liver Resection, Educational Value of Simulation and Training Programmes: A Systematic Review
    Guilbaud, Theophile
    Birnbaum, David Jeremie
    Berdah, Stephane
    Farges, Olivier
    Berjot, Laura Beyer
    [J]. WORLD JOURNAL OF SURGERY, 2019, 43 (11) : 2710 - 2719
  • [10] The diagnosis and treatment of hepatocellular carcinoma
    Hartke, Justin
    Johnson, Matthew
    Ghabril, Marwan
    [J]. SEMINARS IN DIAGNOSTIC PATHOLOGY, 2017, 34 (02) : 153 - 159