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

作者：Kusamura Shigeki; Gonzalez Moreno Santiago; Nizri Eran; Baratti Dario; Guadagni Stefano; Guaglio Marcello; Battaglia Luigi; Deraco Marcello^*

来源：Surgical Oncology Clinics of North America, 2018, 27(3): 507-+.

DOI：10.1016/j.soc.2018.02.009

• Cytoreductive surgery
• HIPEC
• Learning curve
• Surgical training
• Surgical performance

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.

• 出版日期2018-7