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在一个大体积的中心中,跨带单位内镜甲状腺切除术的学习曲线:基于CUSUM的评估
Ling Zhan1, Ming Xuan2, Hao Ding2
1Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Cancer medicine
|July 3, 2023
概括
经大带单位内镜甲状腺切除术 (TASSET) 需要41例的外科手术能力. 这种学习曲线分析显示,在掌握TASSET程序后,手术时间有所改善,住院时间减少.
科学领域:
- 最少侵入性的手术
- 外科教育的外科教育
- 内分泌手术 内分泌手术
背景情况:
- 穿越带单位内镜甲状腺切除术 (TASSET) 提出了技术挑战和一个的学习曲线.
- 有限的研究已经确定了TASSET的熟练度门.
研究的目的:
- 为了建立TASSET的学习曲线.
- 分析随着时间的推移,手术性能的改善.
主要方法:
- 对222个TASSET程序的运行时间的累积总和 (CUSUM) 分析.
- 定义外科手术能力的终点.
- 分析人口,手术,瘤和并发症数据.
主要成果:
- 学习曲线包括一个技能获取阶段 (案例1-41) 和一个熟练程度阶段 (案例42-222).
- 在熟练阶段,手术时间和术后住院时间显著减少.
- 淋巴结解剖显著影响了学习曲线的终点;结节大小没有.
结论:
- 塔塞特是安全的,可行的,并产生可比的瘤学结果.
- 需要大约41个病例才能获得TASSET的外科能力和熟练程度.
- 标准化程序和大量的外科医生可以加速TASSET的学习曲线.
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