Why the study?
Ivor Lewis TMIE has a long learning curve associated with morbidity, but whether hospital and surgeon characteristics correlate with more efficient learning was unknown.
Do specific hospital and surgeon characteristics (like annual volume >50) improve the learning curve for Ivor Lewis totally minimally invasive esophagectomy?
Do specific hospital and surgeon characteristics (like annual volume >50) improve the learning curve for Ivor Lewis totally minimally invasive esophagectomy?
Higher annual hospital volume (>50 cases) is associated with a shorter learning curve for Ivor Lewis totally minimally invasive esophagectomy, whereas visiting expert clinics or proctor supervision did not show more efficient learning.
Higher-volume centers and structured training may shorten TMIE learning curves; leaves open optimal implementation strategies for lower-volume settings.
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Claassen et al. (2021) studied this question.
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