• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Annual case volume has no impact on patient outcomes in laparoscopic partial colectomy
【24h】

Annual case volume has no impact on patient outcomes in laparoscopic partial colectomy

机译：年度病例数对腹腔镜部分结肠切除术的患者预后没有影响

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

Objectives: Surgeon case volume has been utilized in the credentialing process as a surrogate for surgeon skill. The purpose of this study was to compare objective outcome measures of laparoscopic partial colectomies performed by laparoscopically skilled surgeons with varying annual case census. Methods: We performed a retrospective cohort review of all patients (n = 255) undergoing elective laparoscopic partial colectomy. Patients were grouped according to surgeon's annual case volume as low annual case volume (LV; n = 48) and high annual case volume (HV; n = 207). HV is defined as performing >20 total cases and >25 cases per year. All demographic and clinical variables were evaluated with univariate logistic regression followed by a multivariate logistic regression model for variables approaching significance. Results: Demographic variables were found to be similar between groups. Only median estimated blood loss (100 vs. 150 mL for HV; p = 0.040) was found to be significantly different between groups. However, this was clinically insignificant, as it did not lead to an increased rate of blood transfusions (0.0 vs. 3.9 % for HV surgeons; p = 0.184). All other variables were similar in both univariate and multivariate logistic regression models. Conclusions: Among surgeons with advanced laparoscopic training, the data suggest that LV surgeons are able to achieve similar outcomes as those who perform the operation routinely. Annual case volume should not be given undue emphasis when deciding whether to award privileges for laparoscopic partial colectomy.
机译：目标：在认证过程中已利用外科医生病例数量来替代外科医生技能。这项研究的目的是比较具有不同年度病例普查的腹腔镜技术熟练的外科医生进行的腹腔镜部分手术的客观结局指标。方法：我们对所有接受选择性腹腔镜部分结肠切除术的患者（n = 255）进行了回顾性队列研究。根据外科医生的年度病例量将患者分为低年度病例量（LV; n = 48）和高年度病例量（HV; n = 207）。 HV被定义为每年执行总数超过20例且每年超过25例。所有变量和临床变量均采用单变量logistic回归评估，然后采用多元logistic回归模型评估变量的接近性。结果：发现人群之间的人口统计学变量相似。两组之间仅发现了估计的失血量（HV分别为100和150 mL; p = 0.040）。但是，这在临床上并不重要，因为它并未导致输血率的增加（HV外科医生的输血率为0.0 vs. 3.9％; p = 0.184）。在单变量和多变量逻辑回归模型中，所有其他变量均相似。结论：在接受过腹腔镜培训的外科医生中，数据表明左室外科医生能够获得与常规手术相似的结果。在决定是否授予腹腔镜部分结肠切除术的特权时，不应过分强调年度病例数。

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