Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/9385
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dc.contributor.authorTerzi, H.-
dc.contributor.authorBiler, A.-
dc.contributor.authorDemirtaş, Ömer-
dc.contributor.authorGüler, Ömer Tolga-
dc.contributor.authorPeker, N.-
dc.contributor.authorKale, A.-
dc.date.accessioned2019-08-16T13:00:35Z
dc.date.available2019-08-16T13:00:35Z
dc.date.issued2016-
dc.identifier.issn1743-9191-
dc.identifier.urihttps://hdl.handle.net/11499/9385-
dc.identifier.urihttps://doi.org/10.1016/j.ijsu.2016.09.010-
dc.description.abstractObjective To assess the learning curve for total laparoscopic hysterectomy. Methods This study was a retrospective analysis of the learning curve for two surgeons during their first 257 consecutive cases of total laparoscopic hysterectomy at a teaching hospital. Patients were divided sequentially into groups comprising the first 75 patients, the next 75, and the final 107 patients. Age, body mass index, gestational parity, indications for laparoscopic hysterectomy, previous pelvic surgery, operating time, haemoglobin decline, complications, need for transfusion, and length of hospital stay were evaluated. Results The mean operating time for total laparoscopic hysterectomy reduced significantly from 76.2 min to 68.9 min (p = 0.001) between the first and second 75-patient groups. Linear regression analysis showed a plateau was reached on the learning curve after 71–80 cases. The rate of all complications started at 8% in the first group of 75 patients, reduced to 6.7% in the next group, and decreased further in the final group to 4.7%. The decline was not statistically significant (p = 0.6). The difference in the need for transfusion was statistically significant between the first 75 patients and the second group of 75 (p = 0.04). Conversion from laparoscopy to laparotomy was required in five patients, four in the early group and one in the final group. Age, body mass index, parity, previous pelvic surgery, decline in haemoglobin, and length of hospital stay were similar among the three groups. Conclusions A plateau in the learning curve for TLH was reached after the first 75 cases. We can infer that there is a learning curve for TLH as confirmed by the decrease in operating time (accompanied by no change in complications) correlated to gain in experience. On the other hand, one should not disregard the fact that laparoscopy is not a complication-free surgery and achievement of the learning curve does not exclude complications. Gynaecological surgeons can perform TLH securely during the learning curve. © 2016 IJS Publishing Group Ltden_US
dc.language.isoenen_US
dc.publisherElsevier Ltden_US
dc.relation.ispartofInternational Journal of Surgeryen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLaparoscopic hysterectomyen_US
dc.subjectLearning curveen_US
dc.subjectTotal laparoscopic hysterectomyen_US
dc.subjecthemoglobinen_US
dc.subjectadulten_US
dc.subjectageen_US
dc.subjectageden_US
dc.subjectArticleen_US
dc.subjectblood transfusionen_US
dc.subjectbody massen_US
dc.subjectcontrolled studyen_US
dc.subjectfemaleen_US
dc.subjectgestational ageen_US
dc.subjecthumanen_US
dc.subjecthysterectomyen_US
dc.subjectlaparoscopic surgeryen_US
dc.subjectlaparotomyen_US
dc.subjectlearning curveen_US
dc.subjectlength of stayen_US
dc.subjectlinear regression analysisen_US
dc.subjectmajor clinical studyen_US
dc.subjectoperation durationen_US
dc.subjectparityen_US
dc.subjectpelvis surgeryen_US
dc.subjectpostoperative complicationen_US
dc.subjectpriority journalen_US
dc.subjectsurgeonen_US
dc.subjectsurgical techniqueen_US
dc.subjectteaching hospitalen_US
dc.subjectadverse effectsen_US
dc.subjectlaparoscopyen_US
dc.subjectmiddle ageden_US
dc.subjectPostoperative Complicationsen_US
dc.subjectproceduresen_US
dc.subjectretrospective studyen_US
dc.subjectstatistical modelen_US
dc.subjectTurkeyen_US
dc.subjectAdulten_US
dc.subjectAgeden_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectHysterectomyen_US
dc.subjectLaparoscopyen_US
dc.subjectLearning Curveen_US
dc.subjectLength of Stayen_US
dc.subjectLinear Modelsen_US
dc.subjectMiddle Ageden_US
dc.subjectOperative Timeen_US
dc.subjectRetrospective Studiesen_US
dc.titleTotal laparoscopic hysterectomy: Analysis of the surgical learning curve in benign conditionsen_US
dc.typeArticleen_US
dc.identifier.volume35en_US
dc.identifier.startpage51
dc.identifier.startpage51en_US
dc.identifier.endpage57en_US
dc.authorid0000-0001-6673-8604-
dc.identifier.doi10.1016/j.ijsu.2016.09.010-
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.pmid27633451en_US
dc.identifier.scopus2-s2.0-84995691184en_US
dc.identifier.wosWOS:000386903200009en_US
dc.identifier.scopusqualityQ2-
dc.ownerPamukkale University-
item.fulltextWith Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.languageiso639-1en-
item.grantfulltextopen-
item.openairetypeArticle-
crisitem.author.dept14.01. Surgical Medicine-
crisitem.author.dept14.01. Surgical Medicine-
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection
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