术中数字化标本乳腺摄影：提高手术效率的显著改进。
Intraoperative digital specimen mammography: a significant improvement in operative efficiency.
机构信息
Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
出版信息
Am J Surg. 2013 Oct;206(4):526-9. doi: 10.1016/j.amjsurg.2013.01.046. Epub 2013 Jun 25.
BACKGROUND
The goal of this study was to determine the length of operative time and its effect on surgeon productivity with the use of intraoperative digital specimen mammography (IDSM) compared to standard specimen mammography (SSM).
METHODS
A retrospective chart review was performed on 344 consecutive patients from a single breast surgeon from 2003 to 2010. Operative time was compared between procedures using SSM vs IDSM. Surgeon productivity was evaluated by the number of wire-localized excisions performed prior to and after implementation of IDSM.
RESULTS
Two hundred thirty patients underwent SSM and 114 underwent IDSM. Average operative time in the SSM group was 78 minutes vs 68 minutes in the IDSM group (P < .0001). In the first 2 years after implementation of IDSM, the number of wire-localized excisions performed increased by 20%.
CONCLUSIONS
Operative times were significantly shorter with the use of IDSM vs SSM, and this was associated with an increase in surgeon productivity.
背景
本研究旨在确定术中数字标本乳腺摄影（IDSM）与标准标本乳腺摄影（SSM）相比，手术时间的长短及其对外科医生工作效率的影响。
方法
对 2003 年至 2010 年间一位乳腺外科医生的 344 例连续患者进行了回顾性图表审查。比较了使用 SSM 和 IDSM 进行手术的操作时间。通过在实施 IDSM 之前和之后进行的导丝定位切除术的数量来评估外科医生的工作效率。
结果
230 例患者接受了 SSM，114 例患者接受了 IDSM。SSM 组的平均手术时间为 78 分钟，而 IDSM 组为 68 分钟（P<0.0001）。在实施 IDSM 后的头 2 年中，导丝定位切除术的数量增加了 20%。
结论
与 SSM 相比，使用 IDSM 的手术时间明显缩短，这与外科医生工作效率的提高有关。
Zotero 插件