Comparative analysis of postoperative outcomes of single-incision cholecystectomy: Propensity score matching of robotic surgery using the da Vinci SP system and da Vinci Xi system vs. laparoscopic surgery.
Jeong-Ik Park, Yong-Kyu Chung, Young Min Lee, Chang Woo Nam, Yang Won Nah
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引用次数: 0
Abstract
Backgrounds/aims: We compared the postoperative outcomes of single-incision laparoscopic cholecystectomy (SILC) with those of single-incision robotic cholecystectomy (SIRC) using the da Vinci Xi and SP systems.
Methods: We retrospectively analyzed data from 206 patients who underwent these procedures by a single surgeon between August 2020 and April 2022. Propensity score matching was used to adjust for confounders and evaluate outcomes.
Results: SILC exhibited shorter operation times compared to SIRC with Xi and SP (44.9 ± 14.5 min vs. 55.3 ± 12.2 min vs. 55.2 ± 16.2 min, p < 0.001). SIRC with Xi had shorter docking times (6.2 ± 2.8 min vs. 10.3 ± 2.3 min, p < 0.001), while SIRC with SP demonstrated reduced console times (11.2 ± 2.4 min vs. 18.6 ± 8.0 min, p < 0.001). Pain scores and complications did not significantly differ between the groups.
Conclusions: Both SILC and SIRC showed comparable outcomes, with the SP system providing advantages such as reduced console time and fully articulated arms, likely reducing surgeon stress.
背景/目的：我们比较了单切口腹腔镜胆囊切除术（SILC）和单切口机器人胆囊切除术（SIRC）使用达芬奇Xi和SP系统的术后效果。方法：我们回顾性分析了2020年8月至2022年4月期间由一名外科医生接受这些手术的206例患者的数据。倾向评分匹配用于调整混杂因素和评估结果。结果：与Xi和SP的sic相比，SILC的手术时间更短（44.9±14.5 min vs. 55.3±12.2 min vs. 55.2±16.2 min, p < 0.001）。Xi组SIRC的对接时间较短（6.2±2.8 min vs. 10.3±2.3 min, p < 0.001），而SP组SIRC的对接时间较短（11.2±2.4 min vs. 18.6±8.0 min, p < 0.001）。两组间疼痛评分和并发症无显著差异。结论：SILC和SIRC均显示出类似的结果，SP系统具有诸如减少控制台时间和完全铰接式臂等优势，可能减少外科医生的压力。
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