Multidimensional evaluation of the learning curve for laparoscopic complete mesocolic excision for right colon cancer: a risk‐adjusted cumulative summation analysis

• DOI: 10.1111/codi.16075
• Publication Date: 2022-02-02T18:23:41Z
• Authors: Alessandro Giani; Valentina Veronesi; Camillo Leonardo ...; Michele Mazzola; Davide Paolo Bern...; Simona Grimaldi; Monica Gualtierotti; Carmelo Magistro; Giovanni Ferrari
• Keywords: CUSUM; Learning curve

Abstract Aim Despite the suggested potential benefit of complete mesocolic excision (CME) for right‐sided colon cancer (RCC) patient survival, concerns about its safety and feasibility have contributed to delayed acceptance procedure, especially when performed by a minimally invasive approach. Thus, aim this work was evaluate actual learning curve (LC) laparoscopic CME experienced colorectal surgeons. Method Prospectively collected data consecutive patients undergoing RCC between October 2015 January 2021 at our institution, operated on surgeons, were analysed. A multidimensional assessment LC through cumulative sum (CUSUM) risk‐adjusted (RA) CUSUM analysis. Results Two hundred two three surgeons considered. The graphs based operating time showed one peak 17 27 cases. surgical failure 20 24 cases RA‐CUSUM also preeminent 24–33 Based analyses all reached proficiency in Conclusions Our study that an surgeon acquires after performing