Annals of surgery
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The aim of this study was to describe the development and evaluation of a structured department wide cultural competency curriculum. ⋯ Using a standard curriculum development framework, an effective department-wide cultural competency curriculum can be developed and implemented.
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We aimed to describe our experience and the learning curve of 450 cases of robot-assisted pancreaticoduodenectomy (RPD) and optimize the surgical process so that our findings can be useful for surgeons starting to perform RPD. ⋯ RPD is safe and feasible for selected patients. Operative and oncologic outcomes were much improved after experience of 250 cases. Our optimization of the surgical process may have also contributed to this. Future prospective and randomized studies are needed to confirm our results.