Brenot Karen, Goyert Gregory L
Department of Obstetrics and Gynecology, Henry Ford Wyandotte Hospital, Wyandotte, Michigan, USA.
J Reprod Med. 2009 Nov-Dec;54(11-12):675-7.
To compare the volume and type of surgical techniques for hysterectomies performed prior to and after the introduction of robotic surgery at our institution and to assess the potential impact on obstetric-gynecologic resident training.
A retrospective study examined the number and types of hysterectomies performed at our institution during the 18 months prior to, and the 18 months after, the introduction of a robotic surgical system. Procedures performed during both time periods were compared by number and percentage using the chi2 or Fisher's exact test for counts < 5.
A total of 903 hysterectomies were performed from July 1, 2005, to July 1, 2008. There were 444 hysterectomies in the prerobotic surgical system group and 459 hysterectomies in the postrobotic surgical system group. There was a statistically significant decrease in the number of laparoscopically assisted vaginal hysterectomies (94 vs. 36; p < 0.001) and total abdominal hysterectomies (249 vs. 203; p < 0.001) performed.
This study demonstrated a significant impact on the volume and type of surgical techniques for hysterectomies performed prior to and after the introduction of robotic surgery at our institution. This observation may have direct consequences for obstetric-gynecologic resident surgical experience.
比较我院引入机器人手术前后子宫切除术的手术技术量及类型，并评估其对妇产科住院医师培训的潜在影响。
一项回顾性研究考察了在引入机器人手术系统之前的18个月以及之后的18个月期间，我院实施的子宫切除术的数量和类型。使用卡方检验或针对计数小于5的Fisher精确检验，按数量和百分比对两个时间段内实施的手术进行比较。
2005年7月1日至2008年7月1日共实施了903例子宫切除术。机器人手术系统引入前的组中有444例子宫切除术，引入后的组中有459例子宫切除术。腹腔镜辅助阴道子宫切除术（94例对36例；p<0.001）和全腹子宫切除术（249例对203例；p<0.001）的实施数量有统计学显著下降。
本研究表明，我院引入机器人手术前后，子宫切除术的手术技术量及类型受到显著影响。这一观察结果可能对妇产科住院医师的手术经验有直接影响。
