• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Learning curve for robot-assisted Roux-en-Y gastric bypass.
【24h】

Learning curve for robot-assisted Roux-en-Y gastric bypass.

机译：机器人辅助Roux-en-Y胃旁路术的学习曲线。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Robot-assisted Roux-en-Y gastric bypass (RYGBP) is rapidly evolving as an important surgical approach in the bariatric field. However, the specific learning curve associated with this new approach remains poorly investigated. This study aimed to evaluate the learning curve for robot-assisted RYGBP.A series of 64 consecutive robot-assisted RYGBP procedures were performed between December 2008 and December 2010 by a single surgeon already experienced in advanced laparoscopic procedures but not in bariatric surgery. All data were collected prospectively in a database and reviewed retrospectively. The learning curve was evaluated using the cumulative sum (CUSUM) method.Women comprised 76.6% and men 23.4% of this series. These patients had a mean age of 43 years and a mean body mass index (BMI) of 44.5 kg/m(2). The mean operative time (OT) was 238.1 min (range, 150-400 min). A total of six complications occurred (9.4%). The CUSUM learning curve consisted of two distinct phases: phase 1 (the initial 14 cases; mean OT, 288.9 min) and phase 2 (the subsequent cases; mean OT, 223.6 min), which represented the mastery phase, with a decrease in OT (P = 0.0001). The two groups were similar in terms of gender, age, and BMI. The two phases did not differ in terms of complications or hospital stay.This series confirms previous study findings concerning the feasibility and the safety of robotic RYGBP even after a limited experience with laparoscopic RYGBP. The data reported in this article suggest that the learning phase for robot-assisted RYGBP can be achieved with 14 cases.
机译：机器人辅助的Roux-en-Y胃搭桥术（RYGBP）迅速发展成为减肥领域的重要手术方法。但是，与这种新方法相关的特定学习曲线仍然研究不足。这项研究旨在评估机器人辅助RYGBP的学习曲线.2008年12月至2010年12月，由已经在高级腹腔镜手术而非肥胖手术中经验丰富的一名外科医生进行了一系列64连贯的机器人辅助RYGBP手术。所有数据均前瞻性地收集在数据库中，并进行回顾性审查。使用累积总和（CUSUM）方法评估学习曲线，该系列中女性占76.6％，男性23.4％。这些患者的平均年龄为43岁，平均体重指数（BMI）为44.5 kg / m（2）。平均手术时间（OT）为238.1分钟（范围为150-400分钟）。总共发生了六个并发症（9.4％）。 CUSUM学习曲线包括两个不同的阶段：第一阶段（最初的14例;平均OT，288.9分钟）和第二阶段（随后的情况;平均OT，223.6分钟），代表了精通阶段，OT降低了（P ＝ 0.0001）。两组在性别，年龄和BMI方面相似。这两个阶段在并发症或住院时间方面没有差异。该系列证实了先前关于即使在腹腔镜RYGBP经验有限的情况下机器人RYGBP的可行性和安全性的研究结果。本文报道的数据表明，机器人辅助的RYGBP的学习阶段可以实现14例。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号