内镜甲状腺切除术的学习曲线:对不同外科手术方法的文献综述
Wenkai Li1, Xiaowei Peng2, Aiping Wang3
1Department of Physiology, Institute of Neuroscience Research, Hengyang Medical School, University of South China, Hengyang, Hunan 421001, China; Department of Thyroid Surgery, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha 410013, Hunan, China; Department of Thyroid Surgery, Graduate Collaborative Training Base of Hunan Cancer Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan 421001, China.
American journal of otolaryngology
|June 22, 2025
概括
本综述分析了内镜甲状腺切除术的学习曲线,揭示了跨关,跨乳腺,跨口腔和BABA方法的熟练程度的不同病例数,以优化外科训练.
科学领域:
- 最少侵入性的手术
- 外科教育的外科教育
- 内分泌手术 内分泌手术
背景情况:
- 透视甲状腺切除术比传统的开放手术具有优势.
- 标准化培训和理解学习曲线对于广泛采用和患者安全至关重要.
研究的目的:
- 系统地审查和比较不同内镜甲状腺切除技术的学习曲线.
- 为优化外科培训协议提供数据驱动的见解.
主要方法:
- 在PubMed和Web of Science的综合文献搜索 (2014年1月至2024年4月).
- 包括人类研究与内镜甲状腺切除术学习曲线的特定病例数据.
- 排除非英语,动物,综述和无关甲状腺状况研究.
主要成果:
- 47项研究分析了各种内镜甲状腺切除术方法.
- 学习曲线的峰值各不相同:跨 (30-90例),跨乳房/胸部 (25-60例),跨口 (12-71例) 和BABA (15-51例).
- 在某些方法中,机器人辅助程序与内镜对应物相比,通常显示学习曲线较短.
结论:
- 对于各种内镜甲状腺切除术方法的学习曲线存在显著差异.
- 了解这些变异是提高外科训练效率和改善患者治疗结果的关键.
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