中国内镜杂志2017，Vol.23Issue(12)：77-82,6.DOI:10.3969/j.issn.1007-1989.2017.12.016
腹腔镜胆总管囊肿切除+肝总管空肠Roux-en-Y
吻合术的学习曲线研究
Evaluation of the learning curve of laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy
吕成超 1乐盛麟 1戚士芹1
作者信息
- 1. 广东省妇幼保健院 儿外科,广东 广州 511400
- 折叠
摘要
Abstract
Objective To evaluate the outcome of the laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy. Then define the characteristics of the learning curve of this procedure. Methods A prospectively collected database comprising all medical records of the first 79 consecutive patients underwent laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy performed by one surgeon was studied. The patients were divided into seven groups (13 cases in last group) by operative sequence. Data on patients' demographics, clinical and outcome variables including operative duration, conversion to open surgery, complications, and length of hospital stay were analyzed. The learning curve for the laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy was established through the moving average and ANOVA methods. Results Comparing the early with the late experiences (33 v. 46 cases), the surgeon-specific outcomes significantly improved in terms of operating times [(292.7 ± 29.8) vs (215.3 ± 10.2) min, P < 0.05], There was four patients converted to open surgery in the early of experiences.the late experiences was five case, it was no statistical significance. significant differences were not shown in the hospitalization period and infectivity complications. Conclusion Operative duration can be reduced with increasing experience of laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy, In this study, the learning curve for a laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy was about thirty-three cases.关键词
腹腔镜/胆总管囊肿/学习曲线Key words
laparoscopy/choledochal cyst/learning curve分类
医药卫生引用本文复制引用
吕成超,乐盛麟,戚士芹..腹腔镜胆总管囊肿切除+肝总管空肠Roux-en-Y
吻合术的学习曲线研究[J].中国内镜杂志,2017,23(12):77-82,6.
