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Learning Curve for Laparoscopic Sleeve Gastrectomy: a Cumulative Summation (CUSUM) Analysis

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dc.contributor.authorGil, Pedro J
dc.contributor.authorRuíz‑Manzanera, Juan José
dc.contributor.authorRuíz de Antgulo, David
dc.contributor.authorMunitiz, Vicente
dc.contributor.authorFerreras, David
dc.contributor.authorLópez, Victor
dc.contributor.authorConesa, ANA
dc.contributor.authorOrtiz, Angeles
dc.contributor.authorMartínez de Haro, Luisa Fernanda
dc.contributor.authorRamírez, Pablo
dc.contributor.departmentCirugía, Pediatría y Obstetricia y Ginecología
dc.date.accessioned2025-01-30T09:53:11Z
dc.date.available2025-01-30T09:53:11Z
dc.date.issued2022-08-01
dc.description© The Authors 2022. This document is the published version of a published work that appeared in final form in Obesity Surgery. . To access the final edited and published work see: https://doi.org/10.1007/s11695-022-06145-2
dc.description.abstractAbstract Purpose Bariatric surgery is currently considered the most effective and durable treatment option for morbid obesity. Laparoscopic sleeve gastrectomy (LSG) has become a popular technique and may currently be the most frequently practiced surgical operation to treat obesity. However, no objective analyses of its learning curve have been reported. Objective: to analyze the learning curve for LSG. Materials and Methods We included all LSGs performed in our hospital (University Hospital, Spain; Public Practice) from April 2013 to February 2016. The learning curve for LSG was evaluated using cumulative sum (CUSUM) analysis. All variables among the learning curve phases were compared. Results According to the CUSUM analysis, the learning curve was divided into three unique phases: early learning (the initial 26 patients), acquisition of skills (the middle 30 patients), and mastery of technique (the final 56 patients). The operative time and gastric stenosis significantly decreased with progression of the learning curve without differences in the 30-day postoperative complication rate, postoperative stay, or weight loss. Conclusion According to this study, the learning curve for LSG can be divided into 3 distinct phases, and about 25 patients are needed to demonstrate an improvement in surgical skill.es
dc.embargo.termsSi
dc.formatapplication/pdfes
dc.format.extent7es
dc.identifier.doihttps://doi.org/10.1007/s11695-022-06145-2
dc.identifier.eisbnObesity Surgery (2022) 32:2598–2604es
dc.identifier.issnPrint.: 0960-8923
dc.identifier.issnElectronic.: 0960-8923
dc.identifier.urihttp://hdl.handle.net/10201/149746
dc.languageenges
dc.publisherSpringer
dc.relationSin financiación externa a la Universidad.es
dc.relation.publisherversionhttps://link.springer.com/article/10.1007/s11695-022-06145-2
dc.rightsinfo:eu-repo/semantics/embargoedAccesses
dc.subjectObesityes
dc.subjectBariatric surgery
dc.subjectLaparoscopic sleeve gastrectomy
dc.subjectLearning curve
dc.subjectCUSUM analysis
dc.subject.otherCDU::6 - Ciencias aplicadas::61 - Medicina::617 - Cirugía. Ortopedia. Oftalmologíaes
dc.titleLearning Curve for Laparoscopic Sleeve Gastrectomy: a Cumulative Summation (CUSUM) Analysises
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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