分析人工智能在眼科手术患者随访中的应用价值。方法:选择陆军特色医学中心眼科预约中心人工智能随访系统于2020年1月正式上线,更替原有的人工电话随访。选择2021年1月共898例眼科手术患者随访情况,其中449例通过智能语音系统回访( AI ...分析人工智能在眼科手术患者随访中的应用价值。方法:选择陆军特色医学中心眼科预约中心人工智能随访系统于2020年1月正式上线,更替原有的人工电话随访。选择2021年1月共898例眼科手术患者随访情况,其中449例通过智能语音系统回访( AI 随访组),449例眼科手术患者通过人工电话随访信息(人工随访组)。两组患者的性别、年龄、文化、宗教、眼科病种等无统计学差异( P >0.05),对随访对象的通话时间、信息的正确采集率等效率作为对比。结果:两组用于两种方式进行随访,两组的随访对象的通话时间、信息正确采集率均有统计学差异( P <0.05)。结论:采用人工智能随防对眼科病人手术患者能够对随访对象的通话时间、信息的正确采集率等效率都有很大提高,有良好的应用价值,值的临床推广使用。展开更多
Objective:Nephron-sparing surgery(NSS) for small renal masses offers a similar functional and oncological outcome to that of radical surgery.Laparoendoscopic single-site surgery(LESS) emerges as an advanced alternativ...Objective:Nephron-sparing surgery(NSS) for small renal masses offers a similar functional and oncological outcome to that of radical surgery.Laparoendoscopic single-site surgery(LESS) emerges as an advanced alternative for reduced invasiveness and improves cosmesis;LESS is developing quickly and its indications have been expanded,but still in its infancy.The aim of this paper is to report our preliminary experience in transumbilical LESS partial nephrectomy(LESS-PN),so as to assess its utility, safety and efficacy.Methods:From August 2009 to October 2010,3 patients underwent transumbilical LESS-PN via a novel multi-channel TriPort by a single experienced urologist in our institution.Patient demographics,perioperative and follow-up data were prospectively collected and analyzed.Results:All the three procedures were successfully completed.A 5-mm ancillary trocar was utilized in all 3 cases.The mean operative duration was 226.3(210-254 min) with an estimated blood loss of 56.7 ml (20-100 ml).Mean warm ischemia time was 35.7 min(19-48 min).One patient was transfused due to postoperative bleeding. The recovery was uneventful and mean length of postoperative stay was 13 days(12-14 days).At the latest follow-up,all patients remained symptom-free and had normal renal function without evidence of recurrence,and they were delighted for a hidden transumbilical scar.Conclusion:Transumbilical LESS-PN is a feasible and safe procedure albeit extremely technically challenging.Surgical outcomes at a median follow-up of 2 years are promising,while currently it should be reserved for highly selected patients with favorable tumor anatomy and performed by a very experienced laparoscopic surgeon.展开更多
文摘分析人工智能在眼科手术患者随访中的应用价值。方法:选择陆军特色医学中心眼科预约中心人工智能随访系统于2020年1月正式上线,更替原有的人工电话随访。选择2021年1月共898例眼科手术患者随访情况,其中449例通过智能语音系统回访( AI 随访组),449例眼科手术患者通过人工电话随访信息(人工随访组)。两组患者的性别、年龄、文化、宗教、眼科病种等无统计学差异( P >0.05),对随访对象的通话时间、信息的正确采集率等效率作为对比。结果:两组用于两种方式进行随访,两组的随访对象的通话时间、信息正确采集率均有统计学差异( P <0.05)。结论:采用人工智能随防对眼科病人手术患者能够对随访对象的通话时间、信息的正确采集率等效率都有很大提高,有良好的应用价值,值的临床推广使用。
基金Supported by the Military Major Project for Clinical High-tech and Innovative Technology of China(2010gxjs057)the Municipal Hospitals' Project for Emerging and Frontier Technology of Shanghai(SHDC12010115)the Project for the Key Discipline of Shanghai
文摘Objective:Nephron-sparing surgery(NSS) for small renal masses offers a similar functional and oncological outcome to that of radical surgery.Laparoendoscopic single-site surgery(LESS) emerges as an advanced alternative for reduced invasiveness and improves cosmesis;LESS is developing quickly and its indications have been expanded,but still in its infancy.The aim of this paper is to report our preliminary experience in transumbilical LESS partial nephrectomy(LESS-PN),so as to assess its utility, safety and efficacy.Methods:From August 2009 to October 2010,3 patients underwent transumbilical LESS-PN via a novel multi-channel TriPort by a single experienced urologist in our institution.Patient demographics,perioperative and follow-up data were prospectively collected and analyzed.Results:All the three procedures were successfully completed.A 5-mm ancillary trocar was utilized in all 3 cases.The mean operative duration was 226.3(210-254 min) with an estimated blood loss of 56.7 ml (20-100 ml).Mean warm ischemia time was 35.7 min(19-48 min).One patient was transfused due to postoperative bleeding. The recovery was uneventful and mean length of postoperative stay was 13 days(12-14 days).At the latest follow-up,all patients remained symptom-free and had normal renal function without evidence of recurrence,and they were delighted for a hidden transumbilical scar.Conclusion:Transumbilical LESS-PN is a feasible and safe procedure albeit extremely technically challenging.Surgical outcomes at a median follow-up of 2 years are promising,while currently it should be reserved for highly selected patients with favorable tumor anatomy and performed by a very experienced laparoscopic surgeon.
