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首页> 外文期刊>Bariatric Surgical Patient Care >Robotic-Assisted Roux-en-Y Gastric Bypass: Learning Curve Assessment Using Cumulative Sum and Literature Review
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Robotic-Assisted Roux-en-Y Gastric Bypass: Learning Curve Assessment Using Cumulative Sum and Literature Review

机译：机器人辅助Roux-en-Y胃旁路：使用累积和和文献综述学习曲线评估

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摘要

Purpose: Robotic-assisted Roux-en-Y gastric bypass (RARYGB) is a procedure that is used with increasing frequency in the United States. Among other bariatric procedures, RARYGB is a good model for the robotic platform because it allows hand-sewn suturing and energy devices application. The aim of this study was to conduct a literature review of robotic approach in RARYGB, its learning curve using the cumulative sum (CUSUM) method, and our experience as Center of Excellence recognized by the American Society for Metabolic and Bariatric Surgery (ASMBS). Methods: A total of 67 patients were included. Results revealed that the learning curve was achieved after case 11. Eighteen studies were included in the pooled analysis. Results: An increase in the operative time was noted at case 46, in which a second phase was identified. A significant difference between these two phases was found only related to previous bariatric surgery. The outcomes of this series were comparable with the ones available in the literature. Conclusions: The robotic platform is increasing its role in complex procedures such as RARYGB. The hand-sewn technique may offer important advantages in terms of shorter learning curve, reduced conversion rate, and lower leakage rate.
机译：目的：机器人辅助Roux-Zh-Y胃旁路（Rarygb）是一种在美国频率上增加的过程。在其他肥胖症程序中，Rarygb是机器人平台的良好模型，因为它允许手工缝制缝合和能量器件应用。本研究的目的是在Rarygb中对rarygb进行机器人方法的文献综述，其使用累积金额（cusum）方法以及我们作为美国代谢和畜牧手术（Asmbs）认可的卓越中心的经验。方法：包括共有67名患者。结果表明，在案例11之后实现了学习曲线。汇总分析中包含十八研究。结果：在案46中注意到操作时间的增加，其中鉴定了第二阶段。发现这两个阶段之间的显着差异仅与先前的畜牧手术有关。该系列的结果与文献中可用的结果相当。结论：机器人平台正在增加其在rarygb等复杂程序中的作用。手工缝制技术可以在更短的学习曲线，降低转换率和较低泄漏率方面提供重要的优势。

著录项

  • 来源
    《Bariatric Surgical Patient Care》 |2019年第3期|共7页
  • 作者

    Bustos Roberto; Mangano Alberto; Gheza Federico; Chen Liaohai; Aguiluz-Cornejo Gabriela; Gangemi Antonio; Sanchez-Johnsen Lisa; Hassan Chandra; Masrur Mario;

  • 作者单位

    Univ Illinois Dept Surg Div Gen Minimally Invas &

    Robot Surg 840 S Wood St Suite 435E MC 958;

    Univ Illinois Dept Surg Div Gen Minimally Invas &

    Robot Surg 840 S Wood St Suite 435E MC 958;

    Univ Illinois Dept Surg Div Gen Minimally Invas &

    Robot Surg 840 S Wood St Suite 435E MC 958;

    Univ Illinois Dept Surg Div Gen Minimally Invas &

    Robot Surg 840 S Wood St Suite 435E MC 958;

    Univ Illinois Dept Surg Div Gen Minimally Invas &

    Robot Surg 840 S Wood St Suite 435E MC 958;

    Univ Illinois Dept Surg Div Gen Minimally Invas &

    Robot Surg 840 S Wood St Suite 435E MC 958;

    Univ Illinois Dept Surg Div Gen Minimally Invas &

    Robot Surg 840 S Wood St Suite 435E MC 958;

    Univ Illinois Dept Surg Div Gen Minimally Invas &

    Robot Surg 840 S Wood St Suite 435E MC 958;

    Univ Illinois Dept Surg Div Gen Minimally Invas &

    Robot Surg 840 S Wood St Suite 435E MC 958;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 护理学;
  • 关键词

    robotic; Roux-en-Y; gastric bypass; learning curve; cumulative sum; review;

    机译：机器人;roux-en-y;胃旁路;学习曲线;累积额度;审查;

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