首页|达芬奇机器人辅助右半结肠癌根治术的学习曲线分析

达芬奇机器人辅助右半结肠癌根治术的学习曲线分析

扫码查看
目的:分析达芬奇机器人辅助右半结肠癌根治术的学习曲线.方法:选择2016 年3 月至2022 年6 月在郑州大学第一附属医院接受达芬奇机器人辅助右半结肠癌根治术的70 例患者.手术由同一组具备丰富结直肠手术经验的团队连续开展.采用累积和分析法拟合该手术的学习曲线.结果:拟合的学习曲线方程为Y=-0.003X3-0.003X2+12.849X-130.951,R2=0.771,P<0.05.第41 例时曲线达到峰值,据此将学习曲线分为学习提高与稳定掌握两个阶段.与学习提高阶段相比,稳定掌握阶段手术时间缩短(P=0.005),术中出血量减少(P=0.048),术后并发症减少(P=0.039).结论:41 例为有丰富结直肠手术经验的临床医师稳定掌握达芬奇机器人辅助右半结肠癌根治术所需最小手术例数.
Analysis on learning curve of Da Vinci robot-assisted radical resection of right half colon cancer
Aim:To analyze the learning curve of Da Vinci robot-assisted radical resection of right half colon cancer.Methods:Seventy patients who accepted Da Vinci robot-assisted radical resection of right half colon cancer in the First Af-filiated Hospital of Zhengzhou University from March 2016 to June 2022 consecutively were selected.The operation was per-formed by the same group of experienced surgeons.CUSUM analysis was used to fit the learning curve of the operation.Re-sults:The equation of the fitting learning curve was Y=-0.003X3-0.003X2+12.849X-130.951,R2=0.771,P<0.05.In the 41st case,the learning curve reached its peak,and the curve was allocated into 2 stages,learning stage and sta-ble stage.Compared with the learning stage,the operative time in the stable stage was shorter(P=0.005),intraoperative blood loss was decreased(P=0.048),and postoperative complications were reduced(P=0.039).Conclusion:Forty-one cases are the minimum number for clinicians who grasp Da Vinci robot-assisted radical resection of right half colon cancer.

CUSUM analysislearning curveDa Vinci robotright half colon cancer

王时俊、连玉贵、周全博、李国宾、袁维堂

展开 >

郑州大学第一附属医院结直肠肛门外科 郑州 450052

累积和分析法 学习曲线 达芬奇机器人 右半结肠癌

国家自然联合基金资助项目

U2004112

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(5)