腹腔镜结直肠手术学习曲线的分析 |
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引用本文: | 王金申,刘玉林,陈悦之,林黎明,张黎. 腹腔镜结直肠手术学习曲线的分析[J]. 腹腔镜外科杂志, 2012, 17(12): 903-906 |
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作者姓名: | 王金申 刘玉林 陈悦之 林黎明 张黎 |
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作者单位: | 山东省立医院,山东济南,250021 |
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摘 要: | 目的:探讨腹腔镜结直肠手术的学习曲线。方法:回顾分析2006年1月至2011年12月为120例患者行腹腔镜结直肠手术的临床资料,按手术先后次序分为6组(n=20),每20例为一学习曲线阶段,对比分析各阶段的手术时间、手术频度、并发症发生率、中转开腹率及术后住院时间等。结果:6组患者在手术方式、并发症发生率及中转开腹率等方面差异无统计学意义,但手术时间、手术频度及术后住院时间6组相比差异有统计学意义。结论:腹腔镜结直肠手术约40例后,手术技术即可达到较熟练的状态,但除手术例数外,手术频度也是重要的影响因素。
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关 键 词: | 结直肠肿瘤 结直肠外科手术 腹腔镜检查 学习曲线 |
Study on learning curve of laparoscopic colorectal surgery |
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Affiliation: | WANG Jin-shen,LIU Yu-lin,CHEN Yue-zhi,et al.Shandong Provincial Hospital,Jinan 250021,China |
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Abstract: | Objective:To investigate the learning curve of laparoscopic eoloreetal surgery. Methods: Clinical data of 120 cases which received laparoscopic colorectal surgery from Jan. 2006 to Dec. 2011 were analyzed retrospectively. The patients were divided into 6 groups ( n : 20) according to the sequence of the operation and every 20 cases was a learning phase. The operating time, frequency of operation,complication rate,conversion rate to open surgery and hospital stay were compared among the 6 phases. Results:No signifi- cant differences in the surgical procedures,complication rate and conversion rate to open surgery were found among 6 groups However, there were significant differences in the operating time, frequency of operation and hospital stay among all groups. Conclusions:The learning curve was approximately 50 cases' practice for mastering the laparoscopic colorectal surgery skills. Apart from the amounts of operation, the frequency of operation is also an important factor. |
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Keywords: | Colorectal neoplasms Colorectal surgicat procedure Laparoscopy Learning curve |
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