相关实验视频
Updated: Jul 11, 2026
04:38
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
236
双端口视频辅助胸腔镜肺部分片切除术的学习曲线:一种倾向性得分匹配研究
Bixin Yan1, Xiao Yao1, Zhihong Zhao1
1Department of Thoracic Surgery, The First Affiliated Hospital of Harbin Medical University, 23 Youzheng Road, Harbin, Heilongjiang, 150000, China.
Journal of cardiothoracic surgery
|December 24, 2024
概括
双端口视频辅助胸腔镜肺部分片切除术的学习曲线显示,在第95个病例左右,过渡到熟练程度. 这表明在掌握了该技术后,手术后的手术时间有所改善,排水量减少.
科学领域:
- 胸部外科手术 胸部外科手术
- 最少侵入性的手术
- 外科教育的外科教育
背景情况:
- 双端口视频辅助胸腔镜手术 (VATS) 是肺部断片切除的最小侵入性方法.
- 了解学习曲线对于优化手术结果和团队表现至关重要.
研究的目的:
- 定义单个手术团队执行的双端口VATS肺细分切除术的学习曲线.
- 确定达到熟练程度所需的案例数.
主要方法:
- 对193例双端口VATS肺部断片切除病例 (2017年3月至2023年3月) 的回顾性分析.
- 操作时间 (OT) 的累积总和 (CUSUM) 分析,以划分学习阶段.
- 倾向性得分匹配 (PSM) 对患者和手术变量进行控制.
主要成果:
- 学习曲线分为一个学习阶段 (案例1-95) 和一个熟练程度阶段 (案例96-193).
- 在PSM前后观察到OT,淋巴结解剖程度和排水的显著差异,特别是在熟练阶段.
- 在PSM后,OT,淋巴结站被移除,以及早期的术后排水显示出显著的改善.
结论:
- 双端口VATS肺部细分切除术的熟练程度在我们中心的第95个病例左右.
- 过渡到熟练程度与手术时间和早期术后排水的显著改善有关.
相关概念视频
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
01:26Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...