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. 2024 Jul 1;159(7):833-836.
doi: 10.1001/jamasurg.2024.1221.

Learning Curve for Robotic-Assisted Cholecystectomy

Kyle H Sheetz  1   2 , Jyothi R Thumma  2 , Stanley Kalata  1   2 , Edward C Norton  3   4 , Justin B Dimick  1   2   5
Affiliations

Learning Curve for Robotic-Assisted Cholecystectomy

Kyle H Sheetz et al. JAMA Surg. .
No abstract available

Plain language summary

This cohort study evaluates the learning curve for robotic-assisted cholecystectomy among US surgeons from 2010 through 2019.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Dimick reported receiving personal fees from ArborMetrix, Inc and being an equity owner of ArborMetrix, Inc outside the submitted work. No other disclosures were reported.

Figures

Figure.
Figure.. Robotic-Assisted Cholecystectomy Surgeon-Level Volume and Learning Curve
A, Proportion of surgeons performing robotic-assisted cholecystectomy grouped by total volume from 2010 through 2019. B, The learning curve for robotic-assisted cholecystectomy, showing adjusted bile duct injury rates by surgeons’ incremental experience with the approach. The dashed line displays the US national mean bile duct injury rate for laparoscopic cholecystectomy derived from the Medicare cohort over the entire study period. Volumes for both x-axes reflect total volumes, not just Medicare, derived by dividing the total number of Medicare discharges by total hospital admissions from the American Hospital Association survey.
See this image and copyright information in PMC

References

    1. Sheetz KH, Claflin J, Dimick JB. Trends in the adoption of robotic surgery for common surgical procedures. JAMA Netw Open. 2020;3(1):e1918911. doi:10.1001/jamanetworkopen.2019.18911 - DOI - PMC - PubMed
    1. Kalata S, Thumma JR, Norton EC, Dimick JB, Sheetz KH. Comparative safety of robotic-assisted vs laparoscopic cholecystectomy. JAMA Surg. 2023;158(12):1303-1310. doi:10.1001/jamasurg.2023.4389 - DOI - PMC - PubMed
    1. George BC, Thelen AE, Howard RA, et al. . Evaluating educational outcomes using patient outcomes of new surgeons performing partial colectomy compared to cholecystectomy. Acad Med. 2023;98(11S):S143-S148. doi:10.1097/ACM.0000000000005368 - DOI - PubMed