过渡学习曲线的单一的外科医生执行超声波导向的修改后侧位置穿皮nephrolithotomy的学习曲线
Ngoc Thai Nguyen1, Shinnosuke Kuroda2, Trong Nhan Tran1
1University of Medicine and Pharmacy at Ho Chi Minh City.
概括
经验丰富的外科医生可以掌握大约40个情况下的超声导向修改后侧穿皮瘤切除术 (PCNL). 这种技术提高了效率和精度,同时减少了用于结石去除的辐射暴露.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 医疗成像医学成像
背景情况:
- 在修改后的横向位置下进行超声导向皮肤穿透瘤切除术 (PCNL) 提供了人体工程学和安全方面的好处.
- 关于从光学引导的易受PCNL转换的外科医生学习曲线的数据有限.
研究的目的:
- 评估经验丰富的光镜外科医生采用超声波引导修改后侧PCNL的学习进展,手术效率和安全性.
- 评估这种技术过渡对操作结果和并发症率的影响.
主要方法:
- 一个经验丰富的外科医生对70个连续的超声导向修改后侧PCNL病例进行了回顾性分析.
- 患者按时间顺序分组 (1-25,26-50,51-70) 来跟踪学习.
- 分析了手术参数,穿刺成功,光镜时间,无石头率 (SFR) 和并发症. 累积总结 (CUSUM) 分析评估了学习进展.
主要成果:
- 观察到显著的改善:一次性刺穿率从40%增加到75% (p=0.023).
- 上部的进入率从8%提高到70% (p<0.001),手术,穿刺和光镜时间减少.
- 总体高的SFR (95.7%至100%),有轻微的并发症,没有输血. 熟练程度的高原达到大约40个案例.
结论:
- 经验丰富的外科医生可以在大约40个案例内获得超声导向修改后侧PCNL的熟练程度.
- 该技术提高了效率和穿孔精度,同时减少了辐射暴露.
- 在过渡期间,安全性和无石头的结果保持不变.
更多相关视频
06:39Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
Published on: November 22, 2019
8.3K
03:19Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
Published on: June 21, 2024
2.6K
相关概念视频
01:25Urinary Tract Calculi VI: Surgical Management
702
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
702
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
2.1K
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
2.1K
01:24Imaging Studies II: Ultrasonography
628
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
628