SAGES MASTERS 项目呈现:腹腔镜右半结肠切除术路径的 10 篇重要文章。
The SAGES MASTERS program presents: the 10 seminal articles for the Laparoscopic Right Colectomy Pathway.
机构信息
Division of Colon and Rectal Surgery, Department of Surgery, University of California Davis Medical Center, Sacramento, CA, USA.
International School of Reduced Scar Laparoscopy, Brussels, Belgium.
出版信息
Surg Endosc. 2022 Jul;36(7):4639-4649. doi: 10.1007/s00464-022-09310-x. Epub 2022 May 18.
BACKGROUND
As one of the 12 clinical pathways of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Masters Program, the Colorectal Pathway intends to deliver didactic content organized along 3 levels of performance (competency, proficiency and mastery) each represented by an anchoring procedure (laparoscopic right colectomy, laparoscopic left/sigmoid colectomy, and intracorporeal anastomosis during minimally invasive (MIS) ileocecal or right colon resection). In this article, the SAGES Colorectal Task Force presents focused summaries of the top 10 seminal articles selected for laparoscopic right colectomy which surgeons should be familiar with.
METHODS
Using a systematic literature search of Web of Science, the most cited articles on laparoscopic right colectomy were identified, reviewed, and ranked by the SAGES Colorectal Task Force and invited subject experts. Additional articles not identified in the literature search were included if deemed impactful by expert consensus. The top 10 ranked articles were then summarized, with emphasis on relevance and impact in the field, findings, strengths and limitations, and conclusions.
RESULTS
The top 10 seminal articles selected for the laparoscopic right colectomy anchoring procedure include articles on surgical techniques for benign and malignant disease, with anatomical and video illustrations, comparative outcomes of laparoscopic vs open colectomy, variations in technique with impact on clinical outcomes, and assessment of the learning curve.
CONCLUSIONS
The top 10 seminal articles selected for laparoscopic right colectomy illustrate the diversity both in content and format of the educational curriculum of the SAGES Masters Program to support practicing surgeon progression to mastery within the Colorectal Pathway.
背景
作为美国胃肠内镜外科医师学会 (SAGES) 大师课程的 12 个临床路径之一,结直肠路径旨在提供按照 3 个绩效水平(能力、熟练程度和精通)组织的教学内容,每个水平都由一个锚定手术(腹腔镜右结肠切除术、腹腔镜左/乙状结肠切除术和微创 (MIS) 回肠或右结肠切除术中的腔内吻合术)来代表。在本文中,SAGES 结直肠工作组介绍了为腹腔镜右结肠切除术选择的 10 篇最重要的开创性文章的重点摘要,外科医生应该熟悉这些文章。
方法
SAGES 结直肠工作组使用 Web of Science 进行系统文献检索,确定了腹腔镜右结肠切除术最具引用价值的文章,对这些文章进行了回顾和排名,并邀请了主题专家进行评估。如果专家共识认为有影响,则将未在文献检索中发现的其他文章也包括在内。然后对排名前 10 的文章进行总结,重点关注在该领域的相关性和影响力、发现、优势和局限性以及结论。
结果
为腹腔镜右结肠切除术锚定手术选择的 10 篇开创性文章包括关于良性和恶性疾病的手术技术的文章,具有解剖和视频插图、腹腔镜与开腹结直肠切除术的比较结果、对临床结果有影响的技术变化以及对学习曲线的评估。
结论
为腹腔镜右结肠切除术选择的 10 篇开创性文章说明了 SAGES 大师课程教育课程内容和格式的多样性,以支持实践外科医生在结直肠路径中向精通水平的进展。
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