Abstract
A skill degradation in laparoscopic surgery after a long absence: assessment based on nephrectomy case
Highlights
To improve and maintain surgical skill, practice repetition is necessary
The learning curve represents the theory that performance level improves reliably practice by practice, while the hospital volume effect reflects the theory that operative outcomes are inversely related to procedure volume[1,2]
We questioned whether laparoscopic skill decays after a long absence from laparoscopic surgery
Summary
To improve and maintain surgical skill, practice repetition is necessary. The learning curve represents the theory that performance level improves reliably practice by practice, while the hospital volume effect reflects the theory that operative outcomes are inversely related to procedure volume[1,2]. While both theories support the notion that frequent and repeated exposure to clinical surgery improves skill, the idea of a forgetting curve, a counterpart to these theories, is rarely mentioned. When opportunity for practice is limited, degradation of skill would progress in an inverse manner to the learning curve. We questioned whether laparoscopic skill decays after a long absence from laparoscopic surgery
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