微创双孔腹腔镜子宫肌瘤切除术的学习曲线
Learning curve of minimally invasive two-port laparoscopic myomectomy.
作者信息
Kikuchi Iwaho, Kumakiri Jun, Matsuoka Shozo, Takeda Satoru
机构信息
Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Hongo, 2-1-1, Bunkyo-ku, Tokyo, Japan.
出版信息
JSLS. 2012 Jan-Mar;16(1):112-8. doi: 10.4293/108680812X13291597716267.
UNLABELLED
BACKGROUND AND OBJECTS: To examine the learning curve of minimally invasive 2-port total laparoscopic myomectomy (TTLM).
METHODS
TTLM was performed by using only umbilicus and left inguinal ports, for 30 patients at our university affiliated hospital between May 2009 and February 2010. The times required for each of the 5 surgical phases of the early and late cases performed by the same surgeon were compared by using a DVD time counter.
RESULTS
The mean surgical time was 82.5±5.2 minutes, blood loss was 42.1±7.5mL, and weight of specimen was 65.3±13.3g. The eighth case was the first in which the surgical time fell below the overall mean surgical time. Comparison of the mean time of each phase between the 7 early and the subsequent (late) cases revealed significant differences in the times required for suturing.
CONCLUSIONS
Although this was a feasibility study, the results suggest that this technique can be mastered after 7 cases. Learning curve, Suturing.
未标注
背景与目的：研究两孔全腹腔镜子宫肌瘤剔除术（TTLM）的学习曲线。
方法
2009年5月至2010年2月期间，在我校附属医院对30例患者仅通过脐部和左侧腹股沟切口施行TTLM。使用DVD时间计数器比较同一手术医生早期和晚期病例的5个手术阶段各自所需的时间。
结果
平均手术时间为82.5±5.2分钟，失血量为42.1±7.5毫升，标本重量为65.3±13.3克。第8例是手术时间首次低于总体平均手术时间的病例。比较7例早期病例与后续（晚期）病例各阶段的平均时间，发现缝合所需时间存在显著差异。
结论
尽管这是一项可行性研究，但结果表明该技术在7例手术后即可掌握。学习曲线，缝合。
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