• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >A practical way to overcome the learning period of laparoscopic gastrectomy for gastric cancer.
【24h】

A practical way to overcome the learning period of laparoscopic gastrectomy for gastric cancer.

机译：克服腹腔镜胃切除术治疗胃癌的实用方法。

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

BACKGROUND: Although laparoscopic gastrectomy is widely performed in patients with gastric cancer, it requires a learning period for surgeons. Few methods are known to reduce or overcome this learning period. We tested a method to reduce or overcome this learning period in the beginner surgeon. METHODS: Between April 2009 and March 2010, a total of 139 patients underwent laparoscopic gastrectomy by a beginner surgeon. During their training period of 6 months, the beginner had been the first assistant during 200 laparoscopic gastrectomies. To evaluate surgical outcomes as the surgeon started to perform laparoscopic gastrectomy, outcomes were assessed in 79 patients who underwent laparoscopic-assisted distal gastrectomy with extracorporeal gastroduodenostomy (LADG); the first 30 were performed by the surgeon and 49 were performed subsequently. Outcomes of LADG and totally laparoscopic distal gastrectomy with intracorporeal gastroduodenostomy (TLDG) were compared to evaluate the beginner's ability to adapt to intracorporeal reconstruction. The learning period was assessed by dividing patients who underwent LADG and TLDG into sequential groups of five each by time. RESULTS: No patient was converted to open surgery and none died. There were no significant differences between the first 30 patients and the next 49 who underwent LADG in surgical outcomes. The only significantly different outcome between LADG and TLDG was in operation time (95.9 min vs. 115.6 min, P < 0.001). There were no significant differences in mean operation times of sequential groups (LADG, P = 0.069; TLDG, P = 0.212). CONCLUSIONS: The beginning surgeon examined in this work obtained satisfactory surgical outcomes during the early period of performing laparoscopic gastrectomy. We speculate that participation in laparoscopic gastrectomy team of experts improved the beginner's surgical outcomes, suggesting that such participation may reduce or overcome the learning period of beginners.
机译：背景：尽管腹腔镜胃切除术在胃癌患者中广泛进行，但需要外科医师学习。很少有方法可以减少或克服这一学习时间。我们在初学者中测试了一种减少或克服这一学习时间的方法。方法：2009年4月至2010年3月，共有139例患者由初学者进行了腹腔镜胃切除术。在为期6个月的培训期间，初学者是200例腹腔镜胃直肠切除术的第一助手。为了评估外科医生开始进行腹腔镜胃切除术时的手术结果，对79例接受了腹腔镜胃十二指肠吻合术（LADG）的腹腔镜辅助远端胃切除术的患者进行了评估;前30例由外科医生执行，随后49例执行。比较了LADG和全腹腔镜十二指肠胃切除术与体内胃十二指肠造口术（TLDG）的结果，以评估初学者适应体内重建的能力。通过将接受LADG和TLDG的患者按时间顺序分为五个一组来评估学习时间。结果：无患者转为开放手术，无一例死亡。前30例患者和接下来的49例行LADG手术的患者之间无显着差异。 LADG和TLDG之间唯一显着不同的结果是手术时间（95.9分钟vs. 115.6分钟，P <0.001）。顺序组的平均手术时间无显着差异（LADG，P = 0.069; TLDG，P = 0.212）。结论：在这项工作中接受检查的外科医生在进行腹腔镜胃切除术的早期阶段获得了令人满意的手术效果。我们推测参加腹腔镜胃切除术的专家小组改善了初学者的手术效果，表明这种参与可能会减少或克服初学者的学习时间。

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