"Iavazzo 评分"，一种预测机器人辅助妇科手术时间的术前评分。
"Iavazzo score", a preoperative score to predict duration of robotic-assisted gynaecological surgeries.
机构信息
Gynecologic Oncology Department, Metaxa Cancer Hospital of Piraeus, Piraeus, Greece.
出版信息
Int J Med Robot. 2022 Aug;18(4):e2400. doi: 10.1002/rcs.2400. Epub 2022 Apr 10.
BACKGROUND
Long operation time remains a disadvantage of robotic-assisted gynaecological procedures. A score that predicts the duration of such surgeries could be useful.
METHODS
A retrospective analysis of robotic-assisted gynaecological surgeries in our institution were conducted. We assessed preoperative values such as body mass index, uterine size, previous abdominal surgeries, way of previous deliveries and pathology that led patients to the theatre and we created a preoperative predictive score, the 'Iavazzo score'. Thereafter, we correlated this score with duration of surgery.
RESULTS
57 patients were included. Mean 'Iavazzo' score was 7.96, while mean surgery and overall time were 140 and 208.8 min, respectively. Correlation between Iavazzo score and operation time was statistically significant (p < 0.001). Using median operation time, we found an area under curve of 0.86 and a cut-off value of 7.5 for Iavazzo score.
CONCLUSIONS
'Iavazzo' score can be a useful predictive score that evaluates duration of robotic-assisted gynaecological surgeries.
背景
手术时间长仍然是机器人辅助妇科手术的一个缺点。一个预测此类手术持续时间的评分可能会很有用。
方法
对我院进行的机器人辅助妇科手术进行回顾性分析。我们评估了导致患者进入手术室的术前值，如体重指数、子宫大小、既往腹部手术、既往分娩方式和病理，并创建了术前预测评分，即“Iavazzo 评分”。然后，我们将该评分与手术时间进行相关性分析。
结果
共纳入 57 例患者。平均“Iavazzo”评分为 7.96，手术和总时间分别为 140 分钟和 208.8 分钟。Iavazzo 评分与手术时间呈显著相关（p<0.001）。使用中位数手术时间，我们发现 Iavazzo 评分的曲线下面积为 0.86，截断值为 7.5。
结论
“Iavazzo”评分可以是一个有用的预测评分，用于评估机器人辅助妇科手术的持续时间。
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