Laparoscopic telementored adrenalectomy - The Italian experience
Laparoscopic telementored adrenalectomy - The Italian experience
复制标题
DOI：
10.1007/s00464-004-9124-2
复制
发表时间：
2005-06-01
影响因子：
3.1
通讯作者：
Bianchi, G
中科院分区：
文献类型：
--
作者：
Bruschi, M;Micali, S;Bianchi, G
背景：腹腔镜被广泛接受为肾上腺切除术的金标准。远程管理已经被开发出来，以减少与外科医生缺乏经验相关的并发症。我们报告我们的初步经验，腹腔镜telementored adrenalectomy.Methods：从2002年7月至2003年5月，8个腹腔镜telementored adrenalectomies进行了两个独立的操作网站之间相距430公里。其中6例为单侧腹腔镜肾上腺切除术，1例为双侧。所有病例均由一名熟练掌握腹腔镜手术但无腹腔镜肾上腺切除术经验的开放性外科专家完成。平均手术时间、失血量和术后发病率结果与文献报道的标准腹腔镜肾上腺切除术相当。结论：这一初步经验证明了全国远程监护的可行性。这是一种可行的方法，可以潜在地增加手术教育，并减少由于缺乏新技术经验而导致并发症的可能性。
Background: Laparoscopy is widely accepted as the gold standard for adrenalectomy. Telementoring has been developed to reduce the complications associated with surgeon inexperience. We report our preliminary experience with laparoscopic telementored adrenalectomy.Methods: From July 2002 to May 2003, eight laparoscopic telementored adrenalectomies were performed between two separate operating sites 430 km apart. Six of these procedures were monolateral laparoscopic adrenalectomies, and one was bilateral. All cases were performed by an expert open surgeon who was skilled in laparoscopic procedure but who had no experience in laparascopic adrenalectomyResults: All the procedures were successfully performed in a telementored fashion. The mean operative times, blood loss, and postoperative morbidity results were comparable to those for standard laparoscopic adrenalectomies reported in the literature.Conclusions: This preliminary experience has demonstrated the feasibility of national telementoring. It is a viable method that can potentially add to surgical education and decrease the likelihood of complications due to inexperience with new techniques.