从 COVID-19 大流行中吸取的教训：肥胖症手术的远程指导。
Lessons from the COVID-19 pandemic: remote coaching in bariatric surgery.
机构信息
Advanced Biomedical Sciences Department, Naples "Federico II" University, AOU "Federico II" - Via S. Pansini 5, 80131, Naples, Italy.
General Surgery Unit "M. Rubino" Azienda Ospedaliero Universitaria Policlinico, 70124, Bari, Italy.
出版信息
Langenbecks Arch Surg. 2022 Nov;407(7):2763-2767. doi: 10.1007/s00423-022-02612-7. Epub 2022 Jul 19.
BACKGROUND
The development of fast internet connection has stimulated different types of video-assisted teaching programs. However, a remote mentoring with the proctor not on site has never been reported in bariatric surgery. We described our experiences with remote telementoring for laparoscopic sleeve gastrectomy.
METHODS
A qualified general surgeon at the beginning of his bariatric practice performed a series of 8 laparoscopic sleeve gastrectomies (LSG) while tutored by an experienced bariatric surgeon connected from a different city through a specific videoconferencing platform. Data on demographics at baseline, operative time, hospital stay, intraoperative early, and late complications were collected.
RESULTS
Mean age and BMI of patients were 36.9 ± 9.6 years old and 41.8 ± 1.7 kg/m. All procedures were carried out without conversion to open or complications. Mean operative time was 112.4 ± 21.9 min while the hospital stay was 3.5 ± 0.5 days. Operative time significantly decreased after the fourth operation.
CONCLUSIONS
Remote coaching appears to be possible and safe for LSG.
背景
快速互联网连接的发展刺激了各种类型的视频辅助教学计划。然而，在减重手术中，还从未有过现场监督不在现场的远程指导。我们描述了使用远程远程指导进行腹腔镜袖状胃切除术的经验。
方法
一位刚开始从事减重手术的合格普外科医生在一位经验丰富的减重外科医生通过特定的视频会议平台从另一个城市远程指导下，进行了一系列 8 例腹腔镜袖状胃切除术（LSG）。收集了人口统计学基线、手术时间、住院时间、术中早期和晚期并发症的数据。
结果
患者的平均年龄和 BMI 分别为 36.9±9.6 岁和 41.8±1.7 kg/m²。所有手术均无中转开腹或并发症。平均手术时间为 112.4±21.9 分钟，住院时间为 3.5±0.5 天。第四次手术后，手术时间明显缩短。
结论
远程指导似乎对 LSG 是可行且安全的。
Zotero 插件