Evaluating the trainee impact on robotic surgery learning curves: a CUSUM analysis of large series pediatric robot-assisted laparoscopic pyeloplasty

Kapoor A, Allard CB (2011) Laparoscopic pyeloplasty: the standard of care for ureteropelvic junction obstruction. Can Urol Assoc J 5(2):136–138. https://doi.org/10.5489/cuaj.11036.PMID:21470542;PMCID:PMC3104428

Article  PubMed  PubMed Central  Google Scholar 

Xing MH, Hou S, Lombardo A, Kalidoss S, Nordgren R, Gam K, Hajiyev P, Gundeti MS (2025) Pediatric robotic-assisted laparoscopic pyeloplasty: defining mastery over a 15 year experience. J Pediatr Surg. 60(3):162121. https://doi.org/10.1016/j.jpedsurg.2024.162121. (Epub ahead of print. PMID: 39826230)

Article  PubMed  Google Scholar 

Grunkemeier GL, Wu YX, Furnary AP (2003) Cumulative sum techniques for assessing surgical results. Ann Thorac Surg 76(3):663–667. https://doi.org/10.1016/s0003-4975(03)00873-7

Article  PubMed  Google Scholar 

Zhou L, Huang J, Xie H, Chen F (2024) The learning curve of robot-assisted laparoscopic pyeloplasty in children. J Robot Surg 18(1):97. https://doi.org/10.1007/s11701-024-01856-3. (PMID: 38413450)

Article  PubMed  Google Scholar 

Xing MH, Hou S, Lombardo A, Kalidoss S, Nordgren R, Gam K, Hajiyev P, Gundeti MS (2025) Pediatric robotic-assisted laparoscopic pyeloplasty: defining mastery over a 15 year experience. J Pediatr Surg. 60(3):162121. https://doi.org/10.1016/j.jpedsurg.2024.162121. (Epub ahead of print. PMID: 39826230)

Article  PubMed  Google Scholar 

Kassite I, Braik K, Villemagne T, Lardy H, Binet A (2018) The learning curve of robot-assisted laparoscopic pyeloplasty in children: a multi-outcome approach. J Pediatr Urol 14(6):570.e1-570.e10. https://doi.org/10.1016/j.jpurol.2018.07.019. (Epub 2018 Aug 2 PMID: 30177385)

Article  CAS  PubMed  Google Scholar 

Stern N, Li Y, Wang PZ, Dave S (2022) A cumulative sum (CUSUM) analysis studying operative times and complications for a surgeon transitioning from laparoscopic to robot-assisted pediatric pyeloplasty: defining proficiency and competency. J Pediatr Urol 18(6):822–829. https://doi.org/10.1016/j.jpurol.2022.07.021. (Epub 2022 Aug 12 PMID: 36064506)

Article  PubMed  Google Scholar 

Ordóñez J, Ortiz R, Parente A, Burgos L, Fernández-Bautista B, Pérez-Egido L, Angulo JM (2022) Long term outcome of 112 pediatric patients with ureteroplevic junction obstruction treated by endourologic retrograde balloon dilatation. Front Pediatr 25(10):863625. https://doi.org/10.3389/fped.2022.863625.PMID:35547531;PMCID:PMC9084922

Article  Google Scholar 

Schenkman EM, Tarry WF (1998) Comparison of percutaneous endopyelotomy with open pyeloplasty for pediatric ureteropelvic junction obstruction. J Urol 159(3):1013–1015 (PMID: 9474220)

Article  CAS  PubMed  Google Scholar 

Kim JK, Chua ME, Rickard M, Milford K, Keefe DT, Lorenzo AJ (2022) Attaining competency and proficiency in open pyeloplasty: a learning curve configuration using cumulative sum analysis. Int Urol Nephrol 54(8):1857–1863. https://doi.org/10.1007/s11255-022-03229-x. (Epub 2022 May 19 PMID: 35588341)

Article  PubMed  Google Scholar 

Cai X, Yue M, Liu X, Zhang L, Wu S, Shen W, Yu A (2023) Learning curve for flexible bronchoscope-guided orotracheal intubation for anesthesiology residents: a cumulative sum analysis. PLoS One 18(7):e0288617. https://doi.org/10.1371/journal.pone.0288617.PMID:37440528;PMCID:PMC10343144

Article  CAS  PubMed  PubMed Central  Google Scholar 

Verhaeghe C, El Hachem H, Inchboard L, Corroenne R, Dreux C, Jeanneteau P, Legendre G, Descamps P, Saulnier P, May-Panloup P, Bouet PE (2021) Assessment of operator performance during oocyte retrievals: resident’s learning curve and continuous monitoring of senior physicians. BMC Med Educ 21(1):193. https://doi.org/10.1186/s12909-021-02615-w.PMID:33823830;PMCID:PMC8025573

Article  CAS  PubMed  PubMed Central  Google Scholar 

Weil G, Motamed C, Biau DJ, Guye ML (2017) Learning curves for three specific procedures by anesthesiology residents using the learning curve cumulative sum (LC-CUSUM) test. Korean J Anesthesiol. 70(2):196–202. https://doi.org/10.4097/kjae.2017.70.2.196

Article  PubMed  PubMed Central  Google Scholar 

Nielsen AB, Jensen MD, Brodersen JB, Kjeldsen J, Laursen CB, Konge L, Laursen SB (2024) More than 20 procedures are necessary to learn small bowel capsule endoscopy: learning curve pilot study of 535 trainee cases. Endosc Int Open 12(5):E697–E703. https://doi.org/10.1055/a-2308-1613.PMID:38812698;PMCID:PMC11136552

Article  PubMed  PubMed Central  Google Scholar 

Takahashi T, Maeda A, Takayama Y, Aoyama H, Takahashi D, Hosoi T, Fujiya A (2025) learning curves and surgical outcomes of laparoscopic sleeve gastrectomy performed by an attending surgeon and trainee surgeons. Asian J Endosc Surg. 18(1):e13414. https://doi.org/10.1111/ases.13414. (PMID: 39572907)

Article  PubMed  Google Scholar 

Kanabolo DL, Merguerian P, Ahn J, Low DK, Fernandez N (2024) Increase in robot assisted operating room efficiency: a quality improvement study. J Pediatr Urol 20(2):255.e1-255.e8. https://doi.org/10.1016/j.jpurol.2023.11.019. (Epub 2023 Nov 25 PMID: 38065761)

Article  PubMed  Google Scholar 

Tasian GE, Wiebe DJ, Casale P (2013) Learning curve of robotic assisted pyeloplasty for pediatric urology fellows. J Urol. 190(4 Suppl):1622–6. https://doi.org/10.1016/j.juro.2013.02.009. (Epub 2013 Feb 11. PMID: 23410982; PMCID: PMC3706499)

Article  PubMed  PubMed Central  Google Scholar 

Lin PL, Zheng F, Shin M, Liu X, Oh D, D’Attilio D (2023) CUSUM learning curves: what they can and can’t tell us. Surg Endosc. 37(10):7991–7999. https://doi.org/10.1007/s00464-023-10252-1. (Epub 2023 Jul 17. PMID: 37460815; PMCID: PMC10520215)

Article  PubMed  PubMed Central  Google Scholar 

Comments (0)

No login
gif