Learning Curve, Training Program, and Monitorization of Surgical Performance of Peritoneal Surface Malignancies Centers

Surg Oncol Clin N Am. 2018 Jul;27(3):507-517. doi: 10.1016/j.soc.2018.02.009.

Abstract

Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy is a complex procedure with high cost and significant morbidity and mortality. The associated learning curve is steep and could reliably be evaluated using specific statistics. Risk-adjusted sequential probability ratio test is an effective and robust method to monitor surgical performance in the learning and audit phase of a peritoneal surface malignancies center development. The most critical factor associated with surgical performance is mentoring of the trainee by an expert. A well-structured tutor-based training program has been implemented in Europe. This initiative will improve the standardization of the combined procedure and improve quality of services across the continent.

Keywords: Cytoreductive surgery; HIPEC; Learning curve; Surgical performance; Surgical training.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cytoreduction Surgical Procedures / methods*
  • Education*
  • Humans
  • Learning Curve*
  • Monitoring, Physiologic*
  • Patient Outcome Assessment
  • Peritoneal Neoplasms / surgery*