Perioperative Aspects of Endoscopic Anterior Scoliosis Surgery: The Learning Curve for a Consecutive Series of 100 Patients
Gatehouse, Simon, Izatt, Maree, Adam, Clayton, Harvey, Jason, Labrom, Robert, & Askin, Geoffrey (2007) Perioperative Aspects of Endoscopic Anterior Scoliosis Surgery: The Learning Curve for a Consecutive Series of 100 Patients. Journal of Spinal Disorders and Techniques, 20(4), pp. 317-323.
Description
The reported benefits of endoscopic versus open scoliosis surgery include improved visualization, a muscle sparing approach, reduced pulmonary morbidity, reduced pain and improved cosmesis. Some aspects of the surgical learning curve for this technically demanding method have been previously reported, however improvements in other factors with increasing experience have not been quantified. This paper presents a series of 100 consecutive endoscopic anterior scoliosis corrections performed between April 2000 and February 2006. We report changes in the following perioperative factors with increasing experience; operative set-up time, operative time, x-ray irradiation time, number of instrumented levels, blood loss, intercostal catheter drainage, chest drain removal time, days in intensive care, days to mobilize, days in hospital, and early complications. Statistical comparisons were made between the first twenty (1-20), middle twenty (41-60) and last twenty (81-100) cases. Results showed statistically significant improvements and increased consistency in operative time, operative set-up time, x-ray irradiation time, blood loss, hospital stay, and mobilization time with experience. The complication rate was comparable to other recently published endoscopic studies. In the last twenty cases of the series, operative times had reduced to 35 minutes per level, x-ray irradiation times to 15 seconds per level, and blood loss to 38 milliliters per level. Most perioperative surgical factors therefore improve significantly with increasing experience in endoscopic anterior scoliosis correction.
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ID Code: | 8136 | ||||||
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Item Type: | Contribution to Journal (Journal Article) | ||||||
Refereed: | Yes | ||||||
ORCID iD: |
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Measurements or Duration: | 7 pages | ||||||
Keywords: | Blood Loss, Endoscopic Anterior Surgery, Learning Curve, Perioperative Aspects, Scoliosis | ||||||
DOI: | 10.1097/01.bsd.0000248256.72165.b9 | ||||||
ISSN: | 1536-0652 | ||||||
Pure ID: | 33721571 | ||||||
Divisions: | Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering Past > Schools > School of Engineering Systems Past > Institutes > Institute of Health and Biomedical Innovation Past > QUT Faculties & Divisions > Science & Engineering Faculty Current > Research Centres > Australian Research Centre for Aerospace Automation |
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Copyright Owner: | Copyright 2007 Lippincott, Williams & Wilkins | ||||||
Copyright Statement: | This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au | ||||||
Deposited On: | 19 Jun 2007 00:00 | ||||||
Last Modified: | 08 Feb 2025 19:42 |
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