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Low-Cost Single-Port LoCoSP Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
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Learning curves in minimally invasive esophagectomy
Frans van Workum1, Laura Fransen2, Misha Dp Luyer2
1Department of Surgery, Radboud University Medical Center, Nijmegen 6500 HB, Netherlands. frans.vanworkum@radboudumc.nl.
World Journal of Gastroenterology
|December 5, 2018
Summary
Surgical innovations like minimally invasive esophagectomy (MIE) improve outcomes but involve learning curves. Early MIE implementation can increase patient morbidity, highlighting the need for safe pioneering strategies.
Area of Science:
- Surgical innovation
- Patient outcomes
- Minimally invasive surgery
Background:
- Surgical learning curves are a recognized challenge, with increasing impact due to complex procedures and rapid implementation.
- Minimally invasive esophagectomy (MIE) implementation is associated with significant learning-curve-related morbidity.
- The relative effectiveness of new surgical interventions may decrease compared to established methods during their learning phase.
Purpose of the Study:
- To provide an overview of evidence regarding the impact of learning curves after MIE implementation.
- To discuss caveats and factors crucial for the safe implementation and pioneering of MIE.
Main Methods:
- Literature review of evidence on MIE learning curves.
- Discussion of implementation strategies and influencing factors.
Main Results:
- Robust evidence confirms increased morbidity during the MIE learning curve.
- Factors for safe implementation and pioneering of MIE are identified.
Conclusions:
- Minimally invasive esophagectomy (MIE) requires careful management of its learning curve to mitigate patient risk.
- Evidence-based strategies are essential for the safe adoption of surgical innovations like MIE.
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