机器人与开放式小切口活体供体肾切除术:单中心经验。

Seung Duk Lee, Kush Savsani, Sarah Ziqi Wang, Chandra Bhati, Yuzuru Sambommatsu, Daisuke Imai, Aamir Khan, Irfan Saeed, Amit Sharma, Vinay Kumaran, Adrian Cotterell, Marlon Levy, David A. Bruno
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引用次数: 0

摘要

背景:机器人手术具有组织操作少、切口小、恢复快等优点。本研究旨在比较机器人辅助供体肾切除术(RDN)和开放式小切口供体肾切除术(ODN)的短期临床效果:方法:分析了2016年至2019年期间141例涉及RDN的病例。将患者的预后与 2010 年至 2015 年接受 ODN 的 191 例患者的预后进行比较。对人口统计学、手术因素、围手术期结果和并发症进行回顾性审查:RDN组的失血量少于ODN组(P = 0.023)。RDN组的住院时间明显短于ODN组(P 结论:机器人手术方法比ODN手术方法更有优势:与传统的开放式方法相比,机器人方法具有住院时间短、术中失血量减少等优点。
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Robotic versus open mini-incision living donor nephrectomy: Single centre experience

Background

Robotic surgery is associated with less tissue manipulation and earlier recovery with minimal incision. The aim of this study was to compare the short-term clinical outcomes between robotic-assisted donor nephrectomy (RDN) and open mini-incision donor nephrectomy (ODN).

Methods

From 2016 to 2019, 141 cases involving RDN were analysed. Patient outcomes were compared with those of 191 patients who underwent ODN from 2010 to 2015. Demographics, operation factors, perioperative outcomes, and complications were retrospectively reviewed.

Results

The RDN group presented with less blood loss than the ODN group (p = 0.023). The length of hospital stay was significantly shorter in the RDN group than in the ODN group (p < 0.005). The overall rate of complications was low and there was no significant difference in complication rates between the groups.

Conclusion

The robotic approach has benefits over the traditional open approach, including shorter length of hospital stay and reduced intraoperative blood loss.

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来源期刊
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.
期刊最新文献
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