Marghalara Rashid, Nicole Arseneau, Tibetha Kemble, Mosom Patrick Lightning, Karen L Forbes
Exploring medical students' experiences with indigenous patient care: a phenomenological study
Medical education online
study aimed assess learning curve robotassisted intersphincteric resection low rectal cancer retrospectively analyzed clinical data 89 patients underwent robotassisted intersphincteric resection surgeries performed group surgeons institution june 2016 april 2021 learning curve evaluated using cumulative sum analysis bestfit curve different stages learning curve compared based patient characteristics shortterm clinical outcomes evaluate impact clinical efficacy minimum number cases required overcome learning curve 47 learning curve divided learning improvement proficiency stages significant differences observed operation time number lymph nodes two stages p 005 whereas significant differences found intraoperative blood loss first postoperative exhaust time postoperative complications 3year progressionfree survival overall survival local recurrencefree survival p 005 roboticassisted intersphincteric resection low rectal cancer exhibits learning curve divided two stages namely learning improvement proficiency achieving proficiency requires minimum 47 surgical cases