摘要
目的 分析基层泌尿外科医生掌握经后腹腔镜下根治性肾切除术(RLRN)的学习曲线。方法 回顾性分析2020年1月至2022年12月于我院就诊并由同一术者进行RLRN的40例肾细胞癌(RCC)患者的临床资料。依据手术开展先后次序将患者分为A组(第1~10例)、B组(第11~20例)、C组(第21~30例)、D组(第31~40例)。比较四组的手术时间、术中出血量及术后住院时间,并分析其学习曲线。结果 40例患者中,2例中转开放手术,其中A组和B组各1例。四组的手术时间、术中出血量及术后住院时间比较,差异具有统计学意义(P<0.05);C组、D组的手术时间、术后住院时间短于A组、B组,术中出血量少于A组、B组(P<0.05);A组与B组的术后住院时间比较,差异无统计学意义(P>0.05);C组与D组的手术时间、术中出血量、术后住院时间比较,差异无统计学意义(P>0.05)。学习曲线分析发现,该基层泌尿外科医生通过24例左右的学习后就可达到RLRN熟练掌握、相对稳定的程度。结论 基层泌尿外科医生掌握RLRN的学习曲线为24例左右。
Objective To analyze the learning curve of retroperitoneal laparoscopic radical nephrectomy(RLRN)mastered by primary urologists.Methods The clinical data of 40 renal cell carcinoma(RCC)patients who underwent RLRN by the same operator in our hospital from January 2020 to December 2022 were retrospectively analyzed.According to the order of operation,the patients were divided into group A(1-10 cases),group B(11-20 cases),group C(21-30 cases)and group D(31-40 cases).The operation time,intraoperative blood loss and postoperative hospital stay were compared among the four groups,and the learning curve was analyzed.Results Among the 40 patients,2 cases were converted to open surgery,including 1 case in the group A and 1 case in the group B respectively.There were statistically significant differences in operation time,intraoperative blood loss and postoperative hospital stay among the four groups(P<0.05);the operation time and postoperative hospital stay of the group C and the group D were shorter than those of the group A and the group B,and the intraoperative blood loss was less than that of the group A and the group B(P<0.05);there was no significant difference in postoperative hospital stay between the group A and the group B(P>0.05);there were no significant differences in operation time,intraoperative blood loss and postoperative hospital stay between the group C and the group D(P>0.05).The analysis of the learning curve found that the primary urologist could achieve proficiency and relatively stable level in RLRN after about 24 cases of learning.Conclusion Primary urologists master the learning curve of RLRN in about 24 cases.
作者
黄晓东
樊俊杰
王迎春
王波
王晨青
罗晓辉
巨育泉
刘建舟
HUANG Xiaodong;FAN Junjie;WANG Yingchun;WANG Bo;WANG Chenqing;LUO Xiaohui;JU Yuquan;LIU Jianzhou(Urinary Surgery Department,Baoji Central Hospital,Baoji 721006,China)
出处
《临床医学研究与实践》
2024年第27期22-25,共4页
Clinical Research and Practice
基金
陕西省重点研发计划项目(No.S2022-YF-YBSF-1496)。
