借助机器人摄像头固定器进行的腹腔镜胆囊切除术单手术操作：一项病例对照研究。
Laparoscopic cholecystectomy as solo surgery with the aid of a robotic camera holder: a case-control study.
作者信息
Kalteis Manfred, Pistrich Renate, Schimetta Wolfgang, Pölz Werner
机构信息
Surgical Department of St Franziskus Hospital, Grieskirchen, Austria.
出版信息
Surg Laparosc Endosc Percutan Tech. 2007 Aug;17(4):277-82. doi: 10.1097/SLE.0b013e31806030ae.
BACKGROUND
By using robotic camera holders, a laparoscopic cholecystectomy (LC) is possible as a solo-surgeon operation. The purpose of this paper is to examine the safeness and efficiency of solo-surgeon LCs.
METHODS
A series of 72 solo-surgeon LCs was retrospectively compared with a control cohort (matched pairs). Efficiency and safety parameters were compared by means of equivalence tests (scope=10%).
RESULTS
Nearly identical incision-suture times (means: 69.6 vs. 70.7 min) were recorded. An equivalence was also found in the cohorts for the total time in the operating room (means: 117.4 vs. 117.2 min). In terms of the rate of complications, the perioperative difference in hemoglobin, and the conversion rate, the robot cohort proved to be at least equal to the control cohort. The postoperative hospital stay was shorter for the robot cohort.
CONCLUSION
Solo-surgeon LC with a robotic camera holder is an efficient and safe method.
背景
通过使用机器人摄像头固定器，单人腹腔镜胆囊切除术（LC）成为可能。本文旨在探讨单人LC的安全性和效率。
方法
回顾性比较了72例单人LC与一个对照队列（匹配对）。通过等效性检验（范围=10%）比较效率和安全参数。
结果
记录到几乎相同的切口缝合时间（平均值：69.6对70.7分钟）。在手术室总时间方面，两个队列也发现了等效性（平均值：117.4对117.2分钟）。在并发症发生率、围手术期血红蛋白差异和转化率方面，机器人队列至少与对照队列相当。机器人队列的术后住院时间较短。
结论
使用机器人摄像头固定器的单人LC是一种高效且安全的方法。
Zotero 插件