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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

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Learning curve for the open Latarjet procedure: a single-surgeon study.

Aidan G Papalia¹, Paul V Romeo¹, Matthew G Alben¹

¹Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.

Clinics in Shoulder and Elbow

|November 19, 2024

Summary

The open Latarjet procedure (oLP) shows significant operative time improvement after 15 cases and plateaus by 30 cases, indicating surgeon proficiency. Complication rates remained consistent throughout the learning curve.

Keywords:

Bankart, Learning curve Shoulder dislocation Latarjet

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Area of Science:

Orthopedic Surgery
Surgical Education
Shoulder Instability

Background:

The Latarjet procedure (LP) is increasingly used for anterior shoulder instability.
The open Latarjet procedure (oLP) is technically demanding and carries risks.
Understanding the learning curve for oLP is crucial for surgical training and patient safety.

Purpose of the Study:

To determine the learning curve for the open Latarjet procedure (oLP).
To identify the threshold for surgeon proficiency in oLP.
To analyze the relationship between surgical experience and operative time/complications.

Main Methods:

Retrospective analysis of 75 open Latarjet procedures performed by a single surgeon.
Primary outcome: operative time (incision to closure).
Secondary outcome: 1-year postoperative complications; cases grouped by 15 to assess learning curve progression.

Main Results:

Operative times significantly decreased after the initial 15 procedures.
A plateau in operative time, indicating proficiency, was observed after approximately 30 cases.
Average operative time reduced by 31.5 minutes by the 75th procedure compared to the first 15.
No significant differences in complication or revision rates were found across procedural groups.

Conclusions:

The open Latarjet procedure exhibits a steep learning curve with rapid improvement in operative efficiency.
Surgeon proficiency in oLP is indicated by a plateau in operative time after around 30 cases.
Learning curves are vital for assessing surgical complexity and optimizing training pathways.