Minimally invasive therapy for cancer: It is time to take actions for training system in minimally invasive therapy after lacc report

Lee, Chyi‐Long

doi:10.4103/gmit.gmit_132_18

Cited by 13 publications

(10 citation statements)

References 10 publications

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“…The Asia Pacific Association For Gynecological Endoscopy & Minimally Invasive Therapy released a 12-point statement and amongst the points, was a crucial fact stating that surgeon performance and technique of surgery should be standardized before any conclusions can be drawn [10]. The Surgeon Skill cannot be simply compared to a drug, as individual skills are highly variable and cannot be evaluated in a manner similar to drugs [11].…”

Section: Real-world Impact So Farmentioning

confidence: 99%

Minimally invasive surgery in radical hysterectomy for cervical cancer

Lee¹,

Huang²,

Chua³

2020

European Journal of Gynaecological Oncology

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Section: Real-world Impact So Farmentioning

confidence: 99%

Minimally invasive surgery in radical hysterectomy for cervical cancer

Lee¹,

Huang²,

Chua³

2020

European Journal of Gynaecological Oncology

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“…Minimally invasive surgery with laparoscopic-assisted surgery is clinically useful and a popular approach used by surgeons. [ 1 2 ] Formal training occurs with the Fundamentals of Laparoscopic Surgery (FLS) which is a series of didactics which is accompanied by a standardized skill and knowledge examination. [ 3 ] The American Board of Obstetrics and Gynecologists requires passing the FLS examination for board certification in obstetrics and gynecology.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Simulation Training for Residents in Obstetrics and Gynecology Over 12 Months

Itzhak

Raffel

Fogel

2022

Gynecology and Minimally Invasive Therapy

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Objectives: As gynecology surgical cases are declining across the country, residency programs can benefit by training residents with simulation. We evaluate five Fundamentals of Laparoscopic Surgery (FLS) tasks over 12 months. Materials and Methods: This was a retrospective study of 16 obstetrics and gynecology residents. Residents practiced on a FLS simulation box trainer. They were evaluated on completion time and pass/fail performance for the five tasks of peg transfer, precision cutting, loop ligation, suture with extracorporeal knot, and suture with intracorporeal knot. Resident satisfaction with FLS simulation box training was evaluated. Results: We found improvement of reduced time from baseline to 12 months for the tasks of peg transfer, precision cutting, suture with extracorporeal knot, and suture with intracorporeal knot. No time improvement was noted for loop ligation. We only found increased passing rates for the precision cutting task from baseline to 12 months. Residents agreed that simulation training improves surgical skills, improves patient safety, and improves confidence level in the operating room. Conclusion: We found improvement of decreased time with FLS simulator box training for FLS tasks of peg transfer, precision cutting, suture with extracorporeal knot, and suture with intracorporeal knot. We recommend that routine practice with the FLS simulator box trainer will increase resident confidence level and potentially improve surgical outcomes when in the operating room. We recommend including a dedicated portion of the academic curriculum for simulation training. FLS box training can be an essential tool for residency programs in obstetrics and gynecology.

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“…As the results differ from the previous conventional viewpoints, it triggered the discussion of whether laparoscopic radical hysterectomy (LRH) is suitable for the treatment of ECC. [ 3 4 ]…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic regional radical hysterectomy showed promising clinical outcomes in early-stage cervical cancer

Yang

Chen

et al. 2020

Gynecol Minim Invasive Ther

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Objectives: To evaluate the clinical outcomes of standardized and region-specific excision in laparoscopic radical hysterectomy (LRH) for early-stage cervical cancer (ECC). Materials and Methods: This is a retrospective case–controlled study from 2011 to December 2016. A total of 328 women with ECC (IA1, IA2, IB1, or IIA1) underwent primary surgery by laparoscopy or laparotomy in our institute. Women diagnosed as stage IB1 or IIA1 were treated with radical hysterectomy (RH) by open or laparoscopic route. The total parametrium excision in the process of RH was measured and highlighted in the study. Results: A total of 186 patients underwent open surgery and 142 ones were treated with laparoscopic surgery. Laparoscopic surgery was associated with less blood loss (194.43 ± 84.40 ml vs. 362.68 ± 253.36 ml, P < 0.01), shorter hospital stay (11 vs. 14 days, P < 0.01), and lower risk of blood transfusion (2.8% vs. 18.8%, P < 0.01). There was no significant difference in the postoperative complications between two groups (18/142, 12.7% vs. 21/186, 11.3%; P > 0.05). The rate of 5-year overall survival (OS) was 92.8% in laparoscopy group, similar to that of 94.4% in the open group ( P = 0.762). Disease-free survival (DFS) rate at 3 years in laparoscopy group was decreased when compared to open group (91.8% vs. 95.0%, P = 0.030), but there was no significant difference in 3-year DFS among the women with tumor size <2 cm (100% vs. 97.0%, P = 0.818). Conclusion: Laparoscopic surgery was associated with better surgical outcomes compared to open surgery in ECC. 5-Year OS was comparable between the groups and cases with tumor size <2 cm showed no difference in 3-year DFS. LRH may be a better fit for women with tumor size <2 cm. Standardized region-specific RH helps to optimize the clinical outcomes of LRH in ECC.

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Minimally invasive therapy for cancer: It is time to take actions for training system in minimally invasive therapy after lacc report

Cited by 13 publications

References 10 publications

Minimally invasive surgery in radical hysterectomy for cervical cancer

Minimally invasive surgery in radical hysterectomy for cervical cancer

Laparoscopic Simulation Training for Residents in Obstetrics and Gynecology Over 12 Months

Laparoscopic regional radical hysterectomy showed promising clinical outcomes in early-stage cervical cancer

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