Surgical time in gynecologic surgery using laparoscopic articulated instruments (KGOG 4002).

IF 1.9 Q2 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology Science Pub Date : 2025-09-01 Epub Date: 2025-08-11 DOI:10.5468/ogs.25076

Hyunjoon Im, Soyeon Ahn, Kidong Kim, Min Kyung Kim, Jeong-Yeol Park, Ha Kyun Chang, Seok Ju Seong, Jong Ha Hwang

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引用次数: 0

Abstract

Objective: To estimate the learning curve of laparoscopic articulated instrument (LAI) surgery by analyzing data from a multi-institutional gynecologic surgery cohort using surgical time as the primary metric for evaluation.

Methods: A total of 400 patients scheduled to undergo gynecologic surgery (adnexal surgery, myomectomy, hysterectomy, and cancer surgery) using LAI were prospectively enrolled at 14 institutes in the Republic of Korea between November 2021 and April 2022 (KGOG 4002). After excluding patients who did not undergo surgery with LAI (n=43), those in whom LAI was rarely used (n=11), and those operated on by surgeons with prior LAI experience (n=147), 199 patients were included in the analysis. Changes in surgical time according to the surgery index were evaluated using linear regression analysis.

Results: Fifty-four adnexal surgeries, 40 myomectomies, 68 hysterectomies, and 37 cancer surgeries were performed by 24 surgeons. Each surgeon performed between one and 24 surgeries. Surgical time did not decrease as the surgery index increased for any type of surgery. Among surgeons who performed ≥10 surgeries, surgical time similarly showed no decrease with increasing surgery index.

Conclusion: In gynecologic surgery using LAI, surgical time did not decrease despite accumulating surgical experience.

查看原文本刊更多论文

妇科手术中使用腹腔镜关节器械的手术时间（kgog4002）。

目的：通过分析多机构妇科手术队列数据，以手术时间为主要评价指标，评估腹腔镜关节式器械（LAI）手术的学习曲线。方法：在2021年11月至2022年4月期间（KGOG 4002），在韩国14个研究所前瞻性地纳入了400名计划接受妇科手术（附件手术、子宫肌瘤切除术、子宫切除术和癌症手术）的患者。剔除未行LAI手术的患者（n=43）、很少使用LAI的患者（n=11）和有LAI手术经验的患者（n=147）后，共纳入199例患者。根据手术指标评价手术时间的变化，采用线性回归分析。结果：24位外科医生共行附件手术54例，子宫肌瘤切除术40例，子宫切除术68例，肿瘤手术37例。每个外科医生都做了1到24个手术。手术时间不随手术指数的增加而减少。在手术次数≥10次的外科医生中，手术时间同样没有随着手术指数的增加而减少。结论：在使用LAI的妇科手术中，尽管手术经验不断积累，但手术时间并未减少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics and Gynecology Science Medicine-Obstetrics and Gynecology

CiteScore

3.80

自引率

15.80%

发文量

审稿时长

16 weeks

期刊介绍： Obstetrics & Gynecology Science (NLM title: Obstet Gynecol Sci) is an international peer-review journal that published basic, translational, clinical research, and clinical practice guideline to promote women’s health and prevent obstetric and gynecologic disorders. The journal has an international editorial board and is published in English on the 15th day of every other month. Submitted manuscripts should not contain previously published material and should not be under consideration for publication elsewhere. The journal has been publishing articles since 1958. The aim of the journal is to publish original articles, reviews, case reports, short communications, letters to the editor, and video articles that have the potential to change the practices in women''s health care. The journal’s main focus is the diagnosis, treatment, prediction, and prevention of obstetric and gynecologic disorders. Because the life expectancy of Korean and Asian women is increasing, the journal''s editors are particularly interested in the health of elderly women in these population groups. The journal also publishes articles about reproductive biology, stem cell research, and artificial intelligence research for women; additionally, it provides insights into the physiology and mechanisms of obstetric and gynecologic diseases.