Learning Curve of Robotic Pancreatoduodenectomy

Completed

• Conditions: Pancreaticoduodenectomy
• Interventions: Other: Different phase of the learning curve of RPD

• Registration Number: NCT06094465
• Lead Sponsor: Peking Union Medical College Hospital

Brief Summary

A few reports were focused on the RPD learning curve for surgeons with extensive experience in LPD. Therefore, this study aimed to investigate the number of cases required for such surgeons to overcome the learning curve for RPD and to analyze the impact of different phases of the learning curve on perioperative outcomes.

Detailed Description

With the development of robotic surgery systems, their unique advantages over traditional laparoscopic surgery systems, such as a three-dimensional 10-fold magnified view, seven degrees of freedom for flexible wrist movements, tremor filtering, and good ergonomic design, have significantly improved the precision and quality of surgery. The literature has reported that, compared with the laparoscopic surgery system, the robotic surgery system can reduce intraoperative blood loss and the conversion rate to laparotomy, in addition to the dissection of more lymph nodes. Therefore, robotic surgery has become increasingly popular. As the economy develops and surgeons gain more experience in LPD, many are shifting their focus to robotic pancreatoduodenectomy after mastering laparoscopic techniques. There are a few reports on the RPD learning curve for surgeons with extensive experience in LPD. Therefore, this study aimed to investigate the number of cases required for such surgeons to overcome the learning curve for RPD and to analyze the impact of different phases of the learning curve on perioperative outcomes.

Study Timeline

• Study Start: 2020-04-01
• Primary Completion: 2022-10-31
• Study Completion: 2022-10-31
• Status Verified: 2023-10
• Study First Submitted: 2023-10-16
• Study First Submitted QC: 2023-10-19
• Last Update Submitted: 2023-10-19
• Study First Posted: 2023-10-23
• Last Update Posted: 2023-10-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

patients who received robotic pancreaticoduodenectomy

Exclusion Criteria

patients who did not receive robotic pancreaticoduodenectomy

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
learning phase	Different phase of the learning curve of RPD	According to the CUSUM curve, the phase before the peak of the curve is defined as the learning phase.
proficiency phase	Different phase of the learning curve of RPD	According to the CUSUM curve, the phase after the peak of the curve is defined as the learning phase.

Primary Outcome Measures

Name	Time	Method
Intraoperative operation time	the data was recorded and collected at the end of the surgery	Intraoperative operation time, defined as the duration from the skin incision to abdominal closure
Conversion to laparotomy	The data was recorded and collected at the end of the surgery	Conversion to laparotomy
Intraoperative blood loss	the data was recorded and collected at the end of the surgery	Intraoperative blood loss
Postoperative complications	up to 3 months after surgery	Postoperative pancreatic fistula; hemorrhage, abdominal infection, reoperation

Trial Locations

Locations (1)

Department of General Surgery, Peking Union Medical College Hospital (PUMCH), Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China; 🇨🇳 Beijing, Beijing, China