{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:44:56Z","timestamp":1792176296151,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Laparoscopic ultrasound (LUS), performed with an endoscopic ultrasound probe, has shown potential in addressing challenges related to haptic perception and lesion detection in minimally invasive surgery. The aim of the present study was to evaluate the learning curve of gynecologic surgery fellows in achieving competency in LUS image acquisition during minimally invasive procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective single\u2010center study included six gynecologic fellows with limited ultrasound experience who completed a one\u2010day structured training program. Fellows performed laparoscopic ultrasound during elective surgeries for benign conditions and early\u2010stage gynecologic cancers, assessing five anatomical sites. Competency was evaluated using learning curve cumulative summation (LC\u2010CUSUM) analysis based on image quality and examination time. Learning curve time and quality score for each surgeon and anatomical site were measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 56 patients and examinations were analyzed. All fellows achieved competency within 2\u20135 procedures, with LC\u2010CUSUM showing rapid and sustained skill acquisition. Ovarian imaging required fewer attempts than myometrial wall and iliac vessel imaging, with the right external iliac vessels being the most challenging. Patient characteristics did not differ among fellows.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>After targeted training, gynecologic surgery fellows can achieve proficiency in LUS within a short learning curve. These findings support the feasibility of integrating LUS training into gynecologic surgical education and highlight its potential to enhance surgical precision and to reduce surgical overall time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71130","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T10:04:41Z","timestamp":1781085881000},"page":"969-976","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic ultrasound eXAmination: Analysis of fellow surgeons learning curve in minimally invasive gynecologic procedures (\n                    <scp>LUXA<\/scp>\n                    study)"],"prefix":"10.1002","volume":"175","author":[{"given":"Maria Teresa","family":"Giudice","sequence":"first","affiliation":[{"name":"Dipartimento Scienze della Salute della Donna e del Bambino Fondazione Policlinico Universitario Agostino Gemelli, IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Moro","sequence":"additional","affiliation":[{"name":"Dipartimento Scienze della Salute della Donna e del Bambino Fondazione Policlinico Universitario Agostino Gemelli, IRCCS  Rome Italy"},{"name":"UniCamillus\u2010International Medical University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"Ciancia","sequence":"additional","affiliation":[{"name":"Dipartimento Scienze della Salute della Donna e del Bambino Fondazione Policlinico Universitario Agostino Gemelli, IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Consuelo","family":"Russo","sequence":"additional","affiliation":[{"name":"Dipartimento Scienze della Salute della Donna e del Bambino Fondazione Policlinico Universitario Agostino Gemelli, IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Giannarelli","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics Facility, G\u2010STeP Generator Fondazione Policlinico Universitario A. Gemelli IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Cappuccio","sequence":"additional","affiliation":[{"name":"Dipartimento Scienze della Salute della Donna e del Bambino Fondazione Policlinico Universitario Agostino Gemelli, IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Loverro","sequence":"additional","affiliation":[{"name":"Dipartimento Scienze della Salute della Donna e del Bambino Fondazione Policlinico Universitario Agostino Gemelli, IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Fedele","sequence":"additional","affiliation":[{"name":"Dipartimento Scienze della Salute della Donna e del Bambino Fondazione Policlinico Universitario Agostino Gemelli, IRCCS  Rome 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