手术气管切除术:一个回顾性图表分析,比较耳鼻喉专家和住院医生
Virginia Dallari1, Francesca De Cecco1, Carlotta Liberale1
1Unit of Otorhinolaryngology, Head & Neck Department, University of Verona, 37134 Verona, Italy.
Annali italiani di chirurgia
|October 28, 2024
概括
监督住院人员可以安全地进行开放式手术 (OS) 气管切除术,与专家相比,手术时间或并发症率没有显著差异. 这表明,在适当的培训和监督下,早期职业生涯的外科医生可以实现类似的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 外科教育的外科教育
背景情况:
- 开放式外科 (OS) 气管切除术是一种常见的手术.
- 评估住院医生所执行的手术的安全性和有效性对于外科培训至关重要.
- 对监督住院者和经验丰富的专家之间的结果进行比较,为外科能力提供了有价值的见解.
研究的目的:
- 为了比较由专家对照监督住院人员进行的OS气管切除术的手术时间和术后并发症.
- 分析外科经验对住院外科医生和专科医生结局的影响.
主要方法:
- 在2017年至2022年期间进行的385次OS气管切除术的回顾性图表审查.
- 监督住院医生 (按培训年分类) 和专家 (初级/高级) 之间的手术持续时间和并发症率的比较.
- 分析患者因素,包括影响手术时间的解剖学和并发症.
主要成果:
- 在监督住院者和专家之间,没有发现手术时间的统计学上显著差异 (p = 0.287).
- 两组之间并发症频率没有显著差异 (p = 0.908).
- 加长的手术时间与缺乏可触摸的部标志,先前的部手术和抗凝剂/抗凝剂治疗有关.
结论:
- 即使在第一年,监督住院人员也可以安全地进行OS气管切除术.
- 在OS气管切除术的住院人员的表现并没有显著增加手术时间或并发症风险.
- 适当的监督确保住院医生和OS气管切除专家之间的安全性和效率可比.
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