Learning curve in videothoracoscopic thymectomy: how many operations and in which situations?

European Journal of Cardio-thoracic Surgery

Volumn 34, Issue 1, 2008, Pages 155-158

  Toker, Alper ^a   Tanju, Serhan ^a   Ziyade, Sedat ^a   Kaya, Serkan ^a   Dilege, Sukru ^a  

^a ISTANBUL UNIVERSITY   (Turkey)

Author keywords

Learning curve; Myasthenia gravis; Videothoracoscopy

Indexed keywords

CORTICOSTEROID; PYRIDOSTIGMINE;

ADULT; ARTICLE; BODY MASS; ENDOSCOPIC SURGERY; FEMALE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MYASTHENIA GRAVIS; OPERATION DURATION; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; SURGEON; SURGICAL TECHNIQUE; THORACOSCOPY; THORAX SURGERY; THYMECTOMY; TREATMENT INDICATION; VIDEORECORDING;

ADULT; CLINICAL COMPETENCE; EDUCATION, MEDICAL, CONTINUING; FEMALE; HUMANS; INTRAOPERATIVE PERIOD; LENGTH OF STAY; MALE; MIDDLE AGED; MYASTHENIA GRAVIS; PATIENT READMISSION; POSTOPERATIVE COMPLICATIONS; PRACTICE (PSYCHOLOGY); THORACIC SURGERY, VIDEO-ASSISTED; THYMECTOMY; TREATMENT OUTCOME;

EID: 45549107440     PISSN: 10107940     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ejcts.2007.12.056     Document Type: Article

References (20)

1. Toker A., Eroǧlu O., Ziyade S., Tanju S., Senturk M., Dilege S., and Kalayci G. Comparison of early postoperative results of thymectomy: partial sternotomy vs videothoracoscopy. Thorac Cardiovasc Surg 53 2 (2005) 110-113
2. Mineo T.C., Pompeo E., Lerut T.E., Barnardi G., Coosemans W., and Nofroni I. Thoracoscopic thymectomy in autoimmune myasthenia: results of left sided approach. Ann Thorac Surg 69 (2000) 1537-1541
3. Savcenko M., Wendt G.K., Prince S.L., and Mack MJ. Video assisted thymectomy for myasthenia gravis: an update of a single institution experience. Eur J Cardiothorac Surg 22 (2002) 978-983
4. Detterbeck F.C., Scott W.W., Howard J.F., Eagen T.M., Keagy B.A., Starek J.K., Mill M.R., and Wilcox B.R. One hundred consecutive thymectomies for myasthenia gravis. Ann Thorac Surg 62 (1996) 242-245
5. Ravin L. The CUSUM score. A tool for evaluation of clinical competence. Ugeskrift For Laeger 163 (2001) 3644-3648
6. Goldsmith ODaP. Statistical methods in research and production. London: Longman; 1976.
7. Altman D.G., and Royston J.P. The hidden effect of time. Stat Med 7 (1988) 629-637
8. Berwick D.M. Continuous improvement as an ideal in the health care. N Engl J Med 320 (1989) 53-56
9. Williams S.M., Parry R.P., and Schlup M.M.T. Quality control: an application of the CUSUM. Br Med J 304 (1992) 1359-1361
10. Kestin I.G. A statistical approach to measuring the competence of anaesthetic trainees at practical procedures. Br J Anaesth 75 (1995) 805-809
11. Stewart J., O'Halloran C., Harrigan P., Spencer J.A., Barton J.R., and Singleton S.J. Identifying appropriate task for the preregistration year: modified Delphi technique. BMJ 319 (1999) 224-229
12. Schlup M.M., Williams S.M., and Barbezat G.O. ERCP: a review of technical competency and workload in a small unit. Gastrointest Endosc 46 (1997) 48-52
13. Van Rij A.M., McDonald J.R., Pettigrew R., Petterill M., Reddy C., and Wright J. CUSUM as an aid to early assessment of the surgical trainee. Br J Surg 82 (1995) 1500-1503
14. Molloy M., Bower R.H., Hasselgren P., and Dalton B. Cholangiography during laparoscopic cholecystectomy. Cumulative summation analysis of an institutional learning curve. J Gastrointest Surg 3 (1999) 185-188
15. Yang A., Miller J.P., and Azaraov K. Establishing learning curves for surgical residents using cumulative summation analysis. Curr Surg 62 (2005) 330-334
16. Tseng J.F., Pister P.W.T., Lee J.F., Wang H., Gomez H.F., Sun C.C., and Evans D.B. The learning curve in pancreatic surgery. Surgery 141 (2007) 694-701
17. Loscarteles J., Arne J.A., Congragado M., Tristan A.A., Merchan R.J., Arjona J.C.G., and Linares C.A. Video-assisted thoracoscopic thymectomy for the treatment of myasthenia gravis. Arch Bronchoneumol 40 (2004) 409-413
18. Jaretzki III A. Thymectomy for myasthenia gravis: analysis of the controversies regarding the technique and results. Neurology 48 (1997) S52-S63
19. Jartezki III A., Barohn R.J., Ernstoff R.M., Kaminski H.J., Keesey J.C., Penn A.S., and Sanders B. Myasthenia gravis: recommendation for clinical research and standards. Task Force of the Medical Scientific Advisory Board of the Myasthenia Gravis Foundation of the America. Ann Thorac Surg 69 (2000) 327-334
20. Savcenko M., Wendt G.K., Prince S.L., and Mack M.J. Video-assisted thymectomy for myasthenia gravis: an update of a single institution experience. Eur J Cardiothorac Surg 22 (2002) 978-983