单端口胆囊切除术的学习曲线

单端口胆囊切除术的学习曲线
作者： Kravetz，阿曼达J.; Iddings，道格拉斯·巴森，马克D.起亚，迈克尔A。
来源： JSLS，中国的社会Laparoendoscopic外科医生，第13卷，第3号月- 2009年9月第332-336页（5）
发布者：Laparoendoscopic外科医生协会

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摘要：
目标：单口手术腹腔镜手术是一个迅速发展的技术。目前，有限的证据的学习曲线，并进行单端口腹腔镜胆囊切除术的实用性。
方法：单口胆囊切除术，胆道运动障碍，有症状的胆囊结石或急性胆囊炎20例。三端口被放置在肚脐，直接和关节的工具的组合使用。病人的特点和成果进行了评审，并进行了比较与前20个连续进行3端口技术的腹腔镜胆囊切除术。
结果：在这两个群体的特征相似。3口胆囊切除术的平均时间为65.7分钟，而患者的平均身体质量指数为28.16。第一单口胆囊切除术160分钟，66分钟，平均68.2分钟，在过去的15个端口的情况下连续改善的第六宗。患者平均身体质量指数为30.24。无严重并发症发生。
结论：胆囊切除术胆道疾病多度的单端口日期的规模最大的系列。这项研究证实，这种技术可以有效地应用，和传统的3口胆囊切除术的学习曲线大约5例类似的手术时间。

The Learning Curve With Single-Port Cholecystectomy
Authors: Kravetz, Amanda J.; Iddings, Douglas; Basson, Marc D.; Kia, Michael A.
Source: JSLS, Journal of the Society of Laparoendoscopic Surgeons, Volume 13, Number 3, July - September 2009 , pp. 332-336(5)
Publisher: Society of Laparoendoscopic Surgeons

Abstract:
Objectives: Single-port surgery is a rapidly advancing technique in laparoscopic surgery. Currently, there is limited evidence on the learning curve and practicality of performing single-port laparoscopic cholecystectomy.
Methods: Single-port cholecystectomy was performed on 20 consecutive patients for biliary dyskinesia, symptomatic cholelithiasis, or acute cholecystitis. The Tri-Port was placed in the umbilicus, and a combination of straight and articulating instruments were utilized. Patient characteristics and outcomes were reviewed, and a comparison was made with the prior 20 consecutive laparoscopic cholecystectomies performed using the 3-port technique.
Results: Characteristics were similar in both groups. The 3-port cholecystectomy had a mean time of 65.7 minutes, and patients had an average body mass index of 28.16. The first single-port cholecystectomy took 160 minutes with sequential improvement to the sixth case of 66 minutes with a mean of 68.2 minutes for the last 15 single-port cases. The average patient body mass index was 30.24. No major complications occurred.
Conclusion: The largest series to date of single-port cholecystectomy for multiple degrees of biliary disease is presented. This study validates that this technique can be applied effectively and performed in comparable operative times to traditional 3-port cholecystectomy with a learning curve of approximately 5 cases.