Single port robot-assisted pyeloplasty: An early comparative outcomes analysis

IF 2.3 3区医学 Q2 SURGERY International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-02-05 DOI:10.1002/rcs.2622

Francesco Ditonno, Antonio Franco, Celeste Manfredi, Carol L. Feng, Eugenio Bologna, Leslie Claire Licari, Ephrem O. Olweny, Srinivas Vourganti, Edward E. Cherullo, Alexander K. Chow, Riccardo Autorino

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Abstract

Background

The treatment paradigm for ureteropelvic junction obstruction (UPJO) has shifted towards minimally invasive pyeloplasty. A comparison Single Port (SP) and Multi Port (MP) robot-assisted pyeloplasty (RAP) was performed.

Methods

Data from consecutive patients undergoing SP RAP or MP RAP between January 2021 and September 2023 were collected and analysed. Co-primary outcomes were length of stay (LOS), Defense and Veterans Pain Rating Scale (DVPRS), and narcotic dose. The choice of the robotic system depended on the surgeon's preference and availability of a specific robotic platform.

Results

A total of 10 SP RAPs and 12 MP RAPs were identified. SP RAP patients were significantly younger [23 years (20–34)] than MP RAP [42 years (35.5–47.5), p < 0.01]. No difference in terms of OT (p = 0.6), LOS (p = 0.1), DVPRS (p = 0.2) and narcotic dose (p = 0.1) between the two groups was observed.

Conclusions

SP RAP can be implemented without compromising surgical outcomes and potentially offering some clinical advantages.

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单孔机器人辅助肾盂成形术：早期对比结果分析

背景输尿管肾盂连接部梗阻（UPJO）的治疗模式已转向微创肾盂成形术。我们对单孔（SP）和多孔（MP）机器人辅助肾盂成形术（RAP）进行了比较。方法收集并分析了 2021 年 1 月至 2023 年 9 月间接受 SP RAP 或 MP RAP 的连续患者的数据。共同主要结果包括住院时间（LOS）、国防与退伍军人疼痛评分量表（DVPRS）和麻醉剂剂量。机器人系统的选择取决于外科医生的偏好和特定机器人平台的可用性。结果共发现 10 例 SP RAP 和 12 例 MP RAP。SP RAP 患者的年龄[23 岁（20-34 岁）]明显小于 MP RAP [42 岁（35.5-47.5 岁），P < 0.01]。两组患者的 OT（p = 0.6）、LOS（p = 0.1）、DVPRS（p = 0.2）和麻醉剂剂量（p = 0.1）均无差异。结论 SP RAP 可以在不影响手术效果的情况下实施，并可能提供一些临床优势。

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

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.