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首页> 外文期刊>Surgical Endoscopy >Laparoscopic telementored adrenalectomy: the Italian experience.
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Laparoscopic telementored adrenalectomy: the Italian experience.

机译：腹腔镜遥诊肾上腺切除术：意大利经验。

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BACKGROUND: Laparoscopy is widely accepted as the gold standard for adrenalectomy. Telementoring has been developed to reduce the complications associated with surgeon inexperience. We report our preliminary experience with laparoscopic telementored adrenalectomy. METHODS: From July 2002 to May 2003, eight laparoscopic telementored adrenalectomies were performed between two separate operating sites 430 km apart. Six of these procedures were monolateral laparoscopic adrenalectomies, and one was bilateral. All cases were performed by an expert open surgeon who was skilled in laparoscopic procedure but who had no experience in laparascopic adrenalectomy RESULTS: All the procedures were successfully performed in a telementored fashion. The mean operative times, blood loss, and postoperative morbidity results were comparable to those for standard laparoscopic adrenalectomies reported in the literature. CONCLUSIONS: This preliminary experience has demonstrated the feasibility of national telementoring. It isa viable method that can potentially add to surgical education and decrease the likelihood of complications due to inexperience with new techniques.
机译：背景：腹腔镜检查已被广泛接受为肾上腺切除术的金标准。已经开发了远程辅导，以减少与外科医生经验不足相关的并发症。我们报告我们的腹腔镜遥遥肾上腺切除术的初步经验。方法：从2002年7月至2003年5月，在两个相距430 km的独立手术部位之间进行了8例腹腔镜遥诊肾上腺切除术。这些手术中有六项是单侧腹腔镜肾上腺切除术，另一项是双侧。所有病例均由熟练的腹腔镜手术熟练但没有腹腔镜肾上腺切除术经验的开放外科医师进行。结果：所有手术均以遥遥指导的方式成功进行。平均手术时间，失血量和术后发病率结果与文献报道的标准腹腔镜肾上腺切除术相当。结论：这种初步的经验证明了全国远程辅导的可行性。这是一种可行的方法，可以潜在地增加外科手术教育并减少由于缺乏新技术而引起并发症的可能性。

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