PDF(Pubmed)
Abstract：
UNASSIGNED: Endoscopic surgery has become the mainstay of pituitary surgery, but requires comprehensive surgical training. We evaluate the impact of a surgeon\'s academic leave during endoscopic training on surgical outcomes of patients with pituitary tumors.
UNASSIGNED: This retrospective study reviewed the surgical outcomes of endoscopic transsphenoidal surgery for pituitary tumors performed by a single surgeon. The last 56 surgical cases were performed between July 2010 and August 2014 before academic leave (Phase 1 surgery group), while another 56 consecutive cases were performed between November 2017 and March 2020 immediately after the surgeon\'s academic leave (Phase 2 surgery group). Demographic and clinical characteristics were collected and compared between the two surgery groups.
UNASSIGNED: Overall, most surgical outcomes of endoscopic transsphenoidal surgery were not affected adversely by the period of academic leave. The operative time and length of hospital stay was lower in the Phase 2 surgery group compared to the Phase 1 surgery group (P<0.05). Postoperative tumor residual, intraoperative cerebrospinal fluid (CSF) leaks and reoperation also decreased significantly in the Phase 2 group compared to the Phase 1 group (P<0.05). Similar results were observed in patients operated using a one-hand/mono-nostril and two-hand/one-and-half nostril technique.
UNASSIGNED: Academic leave had no negative impact on most surgical outcomes for endoscopic transsphenoidal resection of pituitary tumors. Moreover, a trend toward shorter operative times and length of hospital stays was noted for patients receiving surgery immediately after surgeon\'s return from leave.
UNASSIGNED: This retrospective study reviewed the surgical outcomes of endoscopic transsphenoidal surgery for pituitary tumors performed by a single surgeon. The last 56 surgical cases were performed between July 2010 and August 2014 before academic leave (Phase 1 surgery group), while another 56 consecutive cases were performed between November 2017 and March 2020 immediately after the surgeon\'s academic leave (Phase 2 surgery group). Demographic and clinical characteristics were collected and compared between the two surgery groups.
UNASSIGNED: Overall, most surgical outcomes of endoscopic transsphenoidal surgery were not affected adversely by the period of academic leave. The operative time and length of hospital stay was lower in the Phase 2 surgery group compared to the Phase 1 surgery group (P<0.05). Postoperative tumor residual, intraoperative cerebrospinal fluid (CSF) leaks and reoperation also decreased significantly in the Phase 2 group compared to the Phase 1 group (P<0.05). Similar results were observed in patients operated using a one-hand/mono-nostril and two-hand/one-and-half nostril technique.
UNASSIGNED: Academic leave had no negative impact on most surgical outcomes for endoscopic transsphenoidal resection of pituitary tumors. Moreover, a trend toward shorter operative times and length of hospital stays was noted for patients receiving surgery immediately after surgeon\'s return from leave.
摘要：
■内窥镜手术已成为垂体手术的支柱，但需要全面的手术训练.我们评估了外科医生在内窥镜训练期间的学术假对垂体瘤患者手术结果的影响。
■这项回顾性研究回顾了由一名外科医生进行的内镜经蝶入路垂体瘤手术的手术结果。最后56例手术病例是在2010年7月至2014年8月期间在学术休假前进行的（一期手术组），而在2017年11月至2020年3月期间，在外科医生的学术休假后立即进行了另外56例连续病例（2期手术组）。收集并比较两组的人口统计学和临床特征。
■总的来说，大多数内镜下经蝶窦手术的手术结局未受到学术休假期间的不利影响.2期手术组的手术时间和住院时间均低于1期手术组(P<0.05)。术后肿瘤残留，与1期组相比，2期组的术中脑脊液（CSF）泄漏和再次手术也显着减少（P<0.05）。在使用单手/单鼻孔和双手/一个半鼻孔技术进行手术的患者中观察到类似的结果。
■学术假对内镜经蝶入路垂体瘤切除术的大多数手术结果没有负面影响。此外，在外科医生休假返回后立即接受手术的患者出现了手术时间和住院时间缩短的趋势。
■这项回顾性研究回顾了由一名外科医生进行的内镜经蝶入路垂体瘤手术的手术结果。最后56例手术病例是在2010年7月至2014年8月期间在学术休假前进行的（一期手术组），而在2017年11月至2020年3月期间，在外科医生的学术休假后立即进行了另外56例连续病例（2期手术组）。收集并比较两组的人口统计学和临床特征。
■总的来说，大多数内镜下经蝶窦手术的手术结局未受到学术休假期间的不利影响.2期手术组的手术时间和住院时间均低于1期手术组(P<0.05)。术后肿瘤残留，与1期组相比，2期组的术中脑脊液（CSF）泄漏和再次手术也显着减少（P<0.05）。在使用单手/单鼻孔和双手/一个半鼻孔技术进行手术的患者中观察到类似的结果。
■学术假对内镜经蝶入路垂体瘤切除术的大多数手术结果没有负面影响。此外，在外科医生休假返回后立即接受手术的患者出现了手术时间和住院时间缩短的趋势。
