Weber B M, Long C A, Cowan B D
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson 89216-4505, USA.
J Reprod Med. 1995 Apr;40(4):273-6.
The purpose of this study was to correlate surgical experience with operating efficiency. A retrospective review of 303 operative laparoscopic procedures was performed during a 48-month interval and during the acquisition of surgical skills by one faculty member. Population demographics and surgery time were evaluated in 41 cases (13.5%) of ovarian cystectomy. Patients were categorized into fertility-related or gynecologic indications for surgery. Surgical time for successful laparoscopically directed resection of benign ovarian cysts was significantly reduced over the study interval (P = .008). Endometrioma was the most common pathologic finding in women with impaired fertility, and benign epithelial tumors were the lesion encountered most commonly in gynecologic patients. Benign teratoma occurred infrequently in both groups. No malignancy was observed in this group of premenopausal women, who had unilocular cysts less than 8 cm in diameter. Reduction in surgical time for laparoscopically directed ovarian cystectomy occurs after experience is gained by repeated application of the technique.
本研究的目的是将手术经验与手术效率相关联。在48个月的时间间隔内，以及一位教员获取手术技能的过程中，对303例腹腔镜手术进行了回顾性研究。对41例（13.5%）卵巢囊肿切除术的人群统计学特征和手术时间进行了评估。患者根据手术的生育相关或妇科指征进行分类。在研究期间，成功进行腹腔镜引导下良性卵巢囊肿切除术的手术时间显著缩短（P = 0.008）。子宫内膜瘤是生育能力受损女性中最常见的病理发现，而良性上皮性肿瘤是妇科患者中最常遇到的病变。两组中良性畸胎瘤均较少见。在这组绝经前妇女中未观察到恶性肿瘤，她们的囊肿为单房性，直径小于8 cm。通过反复应用该技术获得经验后，腹腔镜引导下卵巢囊肿切除术的手术时间会缩短。
