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Table 3 Statistical characteristics and results of the comparison tests of different phases of the LPD learning curve of Surgeon A. a: Median of the parameter; #: Independent-samples t tests; *: Chi-square tests; +: Kruskal-Wallis H tests

From: First assistant experience in total laparoscopic pancreaticoduodenectomy: accelerating the learning curve for an operator

Parameter

Phase 1(Case #1–24)

Phase 2(Case #25–31)

Phase 3(Case #32–127)

P

Intraoperative

    

Pancreatic texture [n (%)]

   

0.873*

Soft pancreas

22(91.67%)

6(85.71%)

85(88.54%)

 

Not-soft pancreas

2(8.33%)

1(14.29%)

11(11.46%)

 

MPD size(cm) a

0.3

0.3

0.3

0.711+

Blood loss(mL)a

550

300

300

0.011+

Transfusion [n (%)]

14(58.33%)

3(42.86%)

40(41.67%)

0.338*

Transfusion volume(mL)a

200

200

0

0.074+

Complications [n (%)]

    

Pancreatic fistula (BL/A/B/C)

20(83.33%)/0/3/1

5(71.43%)/0/1/1

71(73.96%)/2/7/5

0.604

Delayed gastric emptying

1(4.17%)

0

2(2.08%)

0.763*

Postoperative hemorrhage

2(8.33%)

2(28.57%)

5(5.21%)

0.020*

Abdominal infection

1(4.17%)

1(14.28%)

11(11.46%)

0.435*

Clavien-Dindo classification [n (%)]

   

< 0.001*

Minor(Grade I and II)

11(45.83%)

4(57.14%)

21(21.87%)

 

Major(Grade III to V)

8(33.33%)

1(14.28%)

7(7.29%)

 

Reoperation [n (%)]

5(20.83%)

0

2(2.08%)

0.001*

Death in hospital [n (%)]

2(8.33%)

0

2(2.08%)

0.146*

Hospital stay (day)a

19

15

10

0.097+

ICU stay (day)a

2

0

0

0.014+