Department of Obstetrics and Gynecology, Linz General Hospital, Linz, Austria.
Eur J Obstet Gynecol Reprod Biol. 2013 Jan;166(1):99-103. doi: 10.1016/j.ejogrb.2012.10.012. Epub 2012 Nov 2.
To use the ENZIAN classification for preoperative estimation of laparoscopic operating time in patients with deeply infiltrating endometriosis (DIE).
Retrospective study of women with DIE (n=151) who underwent laparoscopic surgery.
151 of 470 patients had DIE (n=205 lesions) exclusively in compartments A (rectovaginal septum, vagina), B (sacrouterine ligament to the pelvic wall) and C (rectum, sigmoid colon). These laparoscopically treated lesions were used to calculate a model for estimating operating time for DIE, assuming complication-free procedures (overall significance for model's predictive power: P<0.001). The error of estimation for the operating time prediction is 0 ± 35.35 min (mean ± SD; range -83 to +117 min). The actual operating time for all operations was 109.32 ± 74.38 min (mean ± standard deviation).
Using a model for predicting operating time based on the ENZIAN classification enables resources to be planned more precisely in surgery management. Patients with DIE can also be given more precise information regarding the expected operating time.
利用 ENZIAN 分类法对深部浸润性子宫内膜异位症（DIE）患者的腹腔镜手术时间进行术前估计。
回顾性研究 DIE（n=151）患者接受腹腔镜手术的情况。
470 例患者中有 151 例（n=205 处病灶）仅存在 A 区（直肠阴道隔、阴道）、B 区（骶韧带至骨盆壁）和 C 区（直肠、乙状结肠）的 DIE。这些腹腔镜治疗的病灶用于计算一种估计 DIE 手术时间的模型，假设无并发症的手术（模型预测能力的整体显著性：P<0.001）。手术时间预测的估计误差为 0±35.35 分钟（平均值±标准差；范围-83 至+117 分钟）。所有手术的实际手术时间为 109.32±74.38 分钟（平均值±标准差）。
使用基于 ENZIAN 分类法的手术时间预测模型，可以更精确地规划手术管理中的资源。也可以向 DIE 患者提供更准确的预期手术时间信息。
