Impact of a Fellowship-Trained Minimally Invasive Gynecologic Surgeon on Patient Outcomes
Impact of a Fellowship-Trained Minimally Invasive Gynecologic Surgeon on Patient Outcomes
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DOI：
10.4293/jsls.2017.00037
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发表时间：
2017-07-01
影响因子：
1.5
通讯作者：
Wright, Kelly N.
中科院分区：
文献类型：
--
作者：
Clark, Nisse V.;Gujral, Harneet S.;Wright, Kelly N.
背景与目的：随着微创子宫切除术的性能在美国的增加，应用结局指标的需求也增加了。本研究的目的是确定一名经过奖学金培训的微创妇科手术（MIGS）专家对妇科腹腔镜子宫切除术（LH）后患者结局的影响。方法：这是一项对218例在郊区学术中心因良性指征接受腹腔镜子宫切除术的患者的回顾性研究，2010年至2014年，一家拥有广泛患者基础的附属三级保健医院。结果：共有218名妇女接受了妇科10名成员进行的传统腹腔镜子宫切除术：96名女性（44%）由MIGS专家进行，122名女性（56%）由一组普通妇科医生进行。与其他外科医生相比，MIGS专家的手术时间更短（119 vs 148 min; P < .001），患者更有可能在同一天出院（90.6% vs 66.4%; P < .001）。MIGS专家的更多患者接受过既往剖腹手术（42.7% vs 17.2%; P = 0.001）。
Background and Objectives: As the performance of minimally invasive hysterectomy has increased in the United States, the need to apply outcomes measures has also increased. This study was conducted to determine the impact of a fellowship-trained minimally invasive gynecologic surgery (MIGS) specialist on patient outcomes after laparoscopic hysterectomy (LH) in a gynecology department.Methods: This is a retrospective review of 218 patients who underwent a laparoscopic hysterectomy for benign indications at a suburban academic-affiliated tertiary care hospital with a broad patient base from 2010 to 2014.Results: A total of 218 women underwent conventional laparoscopic hysterectomy by 10 members of a gynecology department: 96 women (44%) by a MIGS specialist and 122 women (56%) by a group of general gynecologists. Operative time was less (119 vs 148 min; P < .001), and patients were more likely to be discharged on the same day (90.6% vs 66.4%; P < .001) for the MIGS specialist compared to other surgeons. More patients of the MIGS specialist had undergone prior laparotomies (42.7% vs 17.2%; P =