一项基于国际调查的评估,对最小侵入性心肌门手术进行评估
Ali Fatehi Hassanabad1, Umar Imran Hamid2,3, Peyman Sardari Nia2
1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Canada.
Interdisciplinary cardiovascular and thoracic surgery
|September 15, 2023
概括
在全球范围内,对最小侵入性心肌门手术 (MIMVS) 的实践有很大差异. 建立共识指南对于全球标准化MIMVS培训和方法至关重要.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
背景情况:
- 最少侵入性 mitra 门手术 (MIMVS) 是安全和可行的,但面临着缓慢的全球采用.
- 缺乏具体的国际指导方针阻碍了MIMVS的实施.
- 了解当前的MIMVS实践对于开发标准化协议至关重要.
研究的目的:
- 在各个国际中心调查和记录当前的最小入侵性脑膜手术 (MIMVS) 实践.
- 为了确定在MIMVS中使用的培训,病例数量和外科手术方法的变化.
主要方法:
- 经验丰富的MIMVS外科医生分发了一份包含52个问题的调查.
- 经常和经常执行MIMVS的中心是参与的目标.
- 从所有参与的外科医生获得了知情同意.
主要成果:
- 75名外科医生中有32名 (42%的应答率) 完成了调查,所有外科医生每年都执行超过25例MIMVS病例.
- 68%的外科医生认为模拟,友和监督对于MIMVS培训至关重要.
- 在感知学习曲线持续时间 (21-100例) 和采用的手术方法 (内镜,内镜辅助,直接可视化,机器人) 中存在显著的变化.
结论:
- 对于MIMVS的培训和外科手术方法有明显的变化.
- 为了标准化MIMVS,需要制定共识指南.
- 标准化将促进更广泛的采用,并改善患者的治疗结果.
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