NCT06723847

Navigating the Learning Curve of Robotic Pancreatoduodenectomy: Feasibility, Proficiency, and Mastery in a First-generation Surgeon

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 313 (actual)
• Sponsor: University of Pisa · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

This study delineates the learning curve of robotic pancreatoduodenectomy (RPD) for first-generation surgeons, using the Comprehensive Complication Index (CCI) to assess patient outcomes and the PD-ROBOSCORE to stratify patients for their risk to develop post-operative complications.

Detailed description

This study aims to define the learning curve of a first-generation surgeon who implemented robotic pancreatoduodenectomy. When compared to previous studies on the same issue, the current study has several distinctive features. Firstly, the learning curve was defined using the cumulative sum method, with the comprehensive complication index as the main outcome metric. The comprehensive complication index provides a holistic view of the burden of postoperative complications in each individual patient, correlating with key outcome measures such as length of hospital stay, use of hospital resources, and ultimately mortality. Secondly, outcomes were adjusted by procedure complexity based on the newly described PD-ROBOSCORE (Surgery. 2023;173:1438-1446). This is the first study assessing the learning curve of robotic pancreatoduodenectomy while incorporating difficulty levels.

Conditions

• Robotic Pancreaticoduodenectomy

Interventions

Type	Name	Description
PROCEDURE	Robotic pancreaticoduodenectomy	All procedures are performed used a standard technique of our center for robotic pancreaticoduodenectomy

Timeline

• Start date: 2008-06-01
• Primary completion: 2023-10-01
• Completion: 2024-06-01
• First posted: 2024-12-09
• Last updated: 2024-12-09