The influence of learning curve of robot-assisted laparoscopy on oncological outcomes in early-stage cervical cancer: an observational cohort study.

ABSTRACT:

Objective

To investigate the learning curve of robot-assisted laparoscopy in early-stage cervical cancer and quantify impact on oncological outcomes.

Design

Observational cohort study.

Setting

Tertiary referral centre with one surgical team.

Population

All women with early-stage cervical cancer treated consecutively with robot-assisted laparoscopy between 2007 and 2017.

Methods

With multivariate risk-adjusted cumulative sum analysis (RA-CUSUM), we assessed the learning curve of robot-assisted laparoscopy of a single surgical team based on cervical cancer recurrence. Subsequently, a survival analysis was conducted comparing oncological outcomes of women treated during different phases of the learning curve.

Main outcome measures

Surgical proficienc

SUBMITTER: Baeten I 

PROVIDER: S-EPMC7818258 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature