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使用ArtiSential进行腹腔镜右半球切除术的短期结果和学习曲线:多中心聚合分析

Seijong Kim¹, Jaeim Lee², Heung-Kwon Oh³

¹Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-Ro, Gangnam-Gu, Seoul, 06351, Korea.

Surgical endoscopy

|March 20, 2025

概括

针对结肠癌的人工辅助右侧血栓切除术 (RHC) 是安全有效的,与常规腹腔镜RHC结果相匹配. 外科医生在大约19个病例后才掌握了这种新工具.

科学领域:

手术瘤学手术瘤学
最少侵入性的手术
大肠直肠癌治疗方法

背景情况:

对于结肠直肠癌的腹腔镜手术提供了好处,但也带来了技术上的挑战.
人工关节性腹腔镜系统旨在提高机动性并降低成本.
对ArtiSential在右侧结肠癌的右侧半结肠切除术 (RHC) 的疗效的临床数据有限.

研究的目的:

与传统的腹腔镜RHC相比,评估ArtiSential辅助RHC的临床疗效和安全性.
评估使用ArtiSential系统的外科医生的学习曲线.

主要方法:

一项多中心的回顾性研究包括511名患者,他们接受了腹腔镜RHC治疗右侧结肠癌.
167名患者接受了ArtiSential辅助的RHC,344人接受了传统的RHC.
使用了倾向性得分匹配 (PSM) 和累积和 (CUSUM) 分析.

主要成果:

在PSM之后,每个组中有165名患者,没有显著的基线差异.
人工辅助RHC的运行时间,并发症率和总费用与传统RHC相似.
在CUSUM分析中,平均19个病例后,CUSUM分析显示了外科医生对ArtiSential的熟练程度.

结论:

人工辅助RHC是对右侧结肠癌的安全和可行的手术选择.
它提供了与传统的腹腔镜RHC.相比的术中和术后结果.
在微创性结直肠癌手术中,ArtiSential是一个潜在的有价值的工具.

关键词:

这是一个人造的东西.关节式装置是指一个关节式装置.进行大肠切除术 (colectomy).学习曲线的学习曲线结果的结果.

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