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片门式视频辅助胸腔镜手术用于叶切除术:学习曲线
Iris E W G Laven1, Jean H T Daemen1, Aimée J P M Franssen1
1Department of Surgery, Division of General Thoracic Surgery, Zuyderland Medical Center, Heerlen, the Netherlandsds.
Interdisciplinary cardiovascular and thoracic surgery
|August 12, 2023
概括
这项研究表明,经验丰富的胸部外科医生可以安全地学习单门视频辅助胸腔镜叶切除术,以减少手术时间和可接受的并发症率. 掌握阶段需要进一步调查.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
- 外科教育的外科教育
背景情况:
- 单门视频辅助胸腔镜手术 (UVATS) 的学习曲线通常由手术时间来评估.
- 有限的数据存在于技术相关的并发症在带切除术的UVATS学习曲线.
研究的目的:
- 评估使用技术相关并发症和手术持续时间来评估单门视频辅助胸腔叶切除术 (UVAT-L) 的学习曲线.
- 建立UVAT-L采购的安全性和效率基准.
主要方法:
- 在2015-2020年期间进行的324个UVAT-L程序的回顾性分析.
- 对技术相关并发症和每位外科医生手术持续时间的累积总和 (CUSUM) 分析 (≥20例).
- 确定的可接受的并发症率为30%,不可接受的为45%.
主要成果:
- 三位经验丰富的胸部外科医生和一位同事展示了UVAT-L.的学习曲线.
- 统计学上显著的并发症率低于30%,在50-96次手术之间实现了三个外科医生.
- 手术持续时间显示,三个外科医生在14-26次手术之间的过渡点.
结论:
- 对于经验丰富的胸部外科医生来说,UVAT-L是一种安全的手术,其特点是可接受的并发症率和减少的手术时间.
- 对于UVAT-L的学习曲线是可行的,但具体的掌握阶段需要进一步定义.
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