胸腔镜个人基底段切除术的学习曲线:18年的经验
Satoshi Takamori1,2, Hiroyuki Oizumi3,4, Jun Suzuki3
1Department of Surgery II, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan. m09y068i@gmail.com.
World journal of surgery
|September 16, 2023
概括
胸腔镜基础细分切除术是具有挑战性的,但可以实现的. 这项研究显示了这种手术的学习曲线,经过42例手术后的手术时间减少,表明手术能力有所改善.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术创新 在外科创新.
- 最少侵入性手术的方法
背景情况:
- 胸腔镜解剖学个体基底细分切除术由于深层状结构和解剖学变异而存在重大挑战.
- 本研究分析了在大学医院执行这些复杂手术的经验和进展情况.
研究的目的:
- 为了评估学习曲线和胸腔镜解剖学个体基础细分切除术的进展.
- 评估经验对手术结果和效率的影响.
主要方法:
- 在2004年至2021年间,对127名接受了解剖基础细分切除术的患者进行了回顾性分析.
- 研究期间分为视频辅助胸腔镜手术 (VATS) 的入门 (2004-2012) 和成熟 (2013-2021) 阶段.
- 评估外科医生的学习曲线使用手术时间和在到期期间累积总和分析.
主要成果:
- 成熟期 (2013-2021) 患者的年龄和并发症指数较高,但手术后住院和手术时间较短,与入门期 (2004-2012) 相比.
- 在后期观察到,单端口程序的使用增加.
- 学习曲线分析表明,胸腔镜基底细分切除术的拐点是在42例病例后达到的.
结论:
- 只有一个机构在执行困难的胸腔镜分片切除术方面取得了显著进展.
- 识别的学习曲线为考虑这种先进手术技术的其他机构提供了有价值的见解.
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