The influence of trained surgeons′ learning curve on the complications of laparoscopic radical surgery for early cervical cancer
10.3760/cma.j.cn431274-20220728-00744
- VernacularTitle:经培训的手术者学习曲线对早期宫颈癌腹腔镜根治术并发症的影响
- Author:
Weirui GAO
1
;
Ping YANG
Author Information
1. 石河子大学医学院第一附属医院妇科 国家卫生健康委中亚高发病防治重点实验室，石河子 832008
- Keywords:
Uterine cervical neoplasms;
Hysterectomy;
Laparoscopy;
Operative complications;
Learning curve
- From:
Journal of Chinese Physician
2022;24(8):1125-1130
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effect of minimally invasive surgery training on the complications of laparoscopic radical surgery for early cervical cancer.Methods:72 cases of continuous surgery were retrospectively included. According to the learning curve and order of the chief surgeon, they were divided into two learning stages (the first stage and the second stage). The clinicopathological characteristics and surgical complications of the two stage group were compared.Results:The proportion of patients with previous abdominal surgery in the second stage group was higher (55.6% vs 31.1%, P=0.041), and the proportion of patients with local advanced clinical stage was also higher (29.6% vs 6.7%, P=0.022). There was no significant difference in the pathological characteristics between the two groups (all P>0.05). In all 72 cases of laparoscopic radical surgery, there were 4 cases of serious surgical injury (3 cases in the first stage group and 1 case in the second stage group), and 36 cases of postoperative complications (20 cases in the first stage group and 16 cases in the second stage group). There was no significant difference in the incidence of serious surgical injury and surgical complications between the two stage groups ( P=1.000, 0.224). Multivariate logistic regression analysis showed that age >51 years old was an independent risk factor for surgical complications after laparoscopic radical resection of early cervical cancer ( HR=3.404, 95% CI: 1.132-10.234, P=0.029). Conclusions:The incidence of complications in laparoscopic radical hysterectomy of cervical cancer for trained operators is low, and the impact of surgical learning curve on complications is small, but its impact on serious surgical injury cannot be ruled out.
