在儿科患者中延长跨腹腔镜辅助尾切除术的手术时间的因素:一项回顾性单中心研究
Yohei Sanmoto1, Yudai Goto2, Kazuki Shirane2
1Department of Pediatric Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba-shi, 305-8576, Japan. ysammoto@yahoo.co.jp.
Surgery today
|July 4, 2024
概括
在实习生中延长跨腹腔镜辅助尾切除术 (TULAA) 操作时间的因素包括患者的BMI,升高的CRP,先前的保守治疗,穿孔,外科医生经验和参加监督员认证. 经过董事会认证的主持外科医生减少了TULAA的时间.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 外科教育的外科教育
背景情况:
- 穿腹腔镜辅助尾切除术 (TULAA) 是手术学员的基础内镜手术.
- 虽然通常比传统腹腔镜更快,但TULAA的指示和影响手术时间的因素需要澄清.
研究的目的:
- 确定与患者和外科医生相关的因素,这些因素独立地延长了由实习外科医生执行的TULAA期间的手术时间.
- 为优化儿科外科培训中TULAA效率提供最佳实践信息.
主要方法:
- 对2015年至2023年期间进行的243项TULAA手术进行了回顾性,单中心分析.
- 采用多变量分析来识别延长经营时间的独立风险因素.
主要成果:
- 平均手术时间为84分钟 (IQR,69-114分钟).
- 延长的因素包括:患者的BMI,高C反应蛋白,先前的保守治疗,尾孔,<6年的外科医生经验,以及缺少参加监督委员会认证.
- 出席日本儿科外科医生协会的外科医生董事会认证与减少的手术时间有关.
结论:
- 参加外科医生委员会认证是减少TULAA手术时间的关键因素.
- 识别和减轻风险因素可以提高TULAA的效率和外科训练结果.
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