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Davide Milani¹, Ismail Zaed¹, Luca Ricciardi²

¹Deparment of Neurosurgery, Neurocenter of the Southern Switzerland, Regional Hospital of Lugano, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.

World neurosurgery

|December 14, 2023

概括

外視鏡系統對脊柱微手術有很大的希望,對於經驗豐富的外科醫生來說,學習曲線很低. 在初始病例后,手术时间有所改善,并发症没有增加.

科学领域:

最少侵入性的手术
手术技术手术技术
脊柱外科手术脊柱外科手术

背景情况:

外視鏡系統代表了手術光學的新時代,在神經外科手術中越來越多地採用了它.
最近在脊柱手术中采用外视镜,需要对其实用性进行评估.

研究的目的:

探索外视镜辅助脊柱手术的潜力.
定义将外视镜整合到常规脊柱手术中的优缺点.

主要方法:

追溯对24个由一位高级外科医生进行的外观镜辅助脊柱手术的回顾.
早期和后期病例之间的操作时间的比较,以评估学习曲线.
对结果,并发症和失血的分析.

主要成果:

观察到的学习曲线很低,在少数情况下可以掌握.
在最初的学习阶段后,操作时间显著减少.
与显微镜辅助手术相比,血液损失或手术内并发症没有统计学上显著的差异.

结论:

以外镜辅助的脊柱外科手术证明了推动脊柱微手术的有希望的潜力.
该系统为具有类似技术经验的外科医生提供了低学习曲线.

关键词:

外观镜外观镜外观镜外观镜外观镜外观镜学习曲线的学习曲线神经外科神经外科脊柱外科手术脊柱外科手术培训培训培训培训培训

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