| 胡泽成，欧阳军，赵晓春.乳晕入路腔镜下甲状腺切除术的学习曲线分析.[J].中南医学科学杂志.,2015,43(1):49-52. |
| 乳晕入路腔镜下甲状腺切除术的学习曲线分析 |
| Analysis of Learning Curve of Endoscopic Thyroidectomy by Areola Approach |
| 投稿时间：2014-10-30 |
| DOI： |
| 中文关键词: 甲状腺肿瘤 腔镜手术 学习曲线 |
| 英文关键词:thyroid neoplasm endoscopic surgery learning curve |
| 基金项目: |
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| 中文摘要: |
| 目的探讨有丰富腹腔镜及开放甲状腺手术经验者行腔镜甲状腺切除术的学习曲线。方法回顾性分析2011年6月～2013年4月由同组医师完成的75例经乳晕入路腔镜下甲状腺切除术的临床资料。按手术先后次序分别纳入A、B、C组,每组25例,比较各组的手术频数、手术时间、出血量、中转开放率、引流管引流量、并发症、住院天数。 |
| 英文摘要: |
| Objective To analyze the learning curve for an experienced laparoscopy and open thyroidectomy surgeon in performing endoscopic thyroidectomy by areola approach. Methods Retrospectively analyzed from June 2011 to April 2013,the 75 cases with thyroid neoplasms underwent endoscopic thyroidectomy done at the same team by areola approach were divided into three groups（n25）based on the surgery date.The clinical datas were including the operative frequency,the mean operating time，the mean blood loss,conversion to open surgery,the wound drainage，operative complications and the postoperative hospital stay. Results The operative frequency of group A is 2.5/month,B is 3.5/month and C is 5/month,No statistical differences were found among the groups in age，gender，tumor size and option of surgery.The mean operating time in group A was longer than the B and C groups（P<0.05）.The intraoperative mean blood loss in group A was more than the other two groups（P<0.05）,and the wound drainage has the same result.The conversion to open surgery，operative complications and the length of postoperative hospital stay were equivalent in all groups. Conclusion For an experienced laparoscopy and open thyroidectomy surgeon，the learning curve of endoscopic thyroidectomy by areola approach is about 25 cases. |
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