完全乳晕入路腔镜甲状腺切除术持镜者的学习曲线.pdf

the mean endoscope holding score (P0.0001). There were no significant differences among the surgical methods (P=0.902), the mean operative blood loss (P=0.696), the mean postoperative hospital stay (P=0.658), and the mean interval of neighboring procedures (P=0.099). 3. Multiple comparison revealed that the mean operative time of group 7, 8, 9, 10 were shorter than group 4, 5, 6, meanwhile the mean operative time of group 4, 5, 6 were shorter than group 1, 2, 3. Moreover, the mean endoscope holding score of group 7, 8, 9, 10 were higher than group 4, 5, 6, and the mean endoscope holding score of group 4, 5, 6 were higher than group 1, 2, 3. 4. Linear regression analysis showed negative correlation between the operative time and the case number (r= －0.746, P0.0001), positive correlation between the endoscope holding score and the case number (r=0.765, P0.0001), positive correlation between the mean operative time and the mean interval of neighboring procedures (r=0.777, P=0.008), and negative correlation between the mean endoscope holding score and the mean interval of neighboring procedures (r= －0.809, P=0.005). Conclusion: 1.A specific learning curve for endoscope holder in ETCAA does exist. 2. The initial 30 cases composed the primary stage of the learning curve, and the endoscope holder could enter the intermediate stage of the learning curve after about 30 cases and expect a learning curve of approximately 60 cases in order to achieve the advanced stage. 3. Properly increasing the operating frequency would help shorten the learning curve for endoscope holder. 4. In order to enhance the quality of operation and the confidence of endoscope holder, it seems advisable for endoscope holder to select suitable c