Defining the learning curve for laparoscopic splenectomy for immune thrombocytopenia purpura

Total Laparoscopic versus Open Splenectomy and Esophagogastric Devascularization in the Management of Portal Hypertension: A Comparative Study

“…In other reports published earlier, prolonged operative time was one of the disadvantages for laparoscopic spleen removal surgery. According to the learning curve of the laparoscopic operation, the operative time is obviously different in different centers depending on the experience and skill of the surgeons [15]. This could account for the shorter operative time reported in our study compared to others.…”

Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

“…The perception of a need for training to perform advanced laparoscopic surgery was shown by Rattner et al [17] in an assessment of surgical residents' opinion (LoE 5). Some authors define the learning curve as a decrease in operating time [18][19][20], a decrease in conversion rate [20,21], or a decrease in complication rate [22] that can be achieved after a minimum of 10 (LoE 4) [20] or 20 (LoE 4) [18] patients. Others have shown by comparing 25 cases of LS managed by experienced surgeons and the same number of LS cases managed by trainees under direct supervision of an experienced surgeon that there were no statistically significant outcome differences in terms of operative time, blood loss, intraoperative complications, need for transfusion, conversion rate, length of hospital stay, or postoperative complications (LoE 3b) [23].…”

Enhanced Surgical Imaging: Laparoscopic Vessel Identification and Assessment of Tissue Oxygenation

“…Laparoscopic colon resections are in greater demand due to decreased time to return of bowel function and analgesic requirements and improved cosmetic results. (33)(34)(35) In ways similar to colon surgery, laparoscopic surgery is supplanting the open splenectomy for selected patients (36,37). As with laparoscopic colectomies, vessel differentiation and parenchymal assessment during this surgery are key elements.…”