咨询与建议

看过本文的还看了

相关文献

该作者的其他文献

文献详情 >Learning curves in minimally i... 收藏

Learning curves in minimally invasive esophagectomy

Learning curves in minimally invasive esophagectomy

作     者:Frans van Workum Laura Fransen Misha DP Luyer Camiel Rosman 

作者机构:Department of Surgery Radboud University Medical Center Department of Surgery Catharina Hospital 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2018年第24卷第44期

页      面:4974-4978页

核心收录:

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:学习曲线 相对有效性 MIE 外科 复杂性 证据 保险箱 病态 

摘      要:Surgical innovation and pioneering are important for improving patient outcome, but can be associated with learning curves. Although learning curves in surgery are a recognized problem, the impact of surgical learning curves is increasing, due to increasing complexity of innovative surgical procedures, the rapid rate at which new interventions are implemented and a decrease in relative effectiveness of new interventions compared to old interventions. For minimally invasive esophagectomy(MIE), there is now robust evidence that implementation can lead to significant learning associated morbidity(morbidity during a learning curve, that could have been avoided if patients were operated by surgeons that have completed the learning curve). This article provides an overview of the evidence of the impact of learning curves after implementation of MIE. In addition, caveats for implementation and available evidence regarding factors that are important for safe implementation and safe pioneering of MIE are discussed.

读者评论 与其他读者分享你的观点

用户名:未登录
我的评分