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IF 2.3 3区医学 Q2 SURGERY International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-12-10 DOI:10.1002/rcs.70013

Hiroki Tsujioka, Kiyoshi Setoguchi, Asumi Nirazuka, Kintaro Hasegawa, Keita Izumi, Akinori Nakayama, Kazutaka Saito

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引用次数: 0

摘要

背景：我们通过倾向评分匹配来比较使用hinotori进行机器人辅助根治性前列腺切除术（RARP）的患者和使用da Vinci Xi进行RARP的患者的手术结果，以评估hinotori的潜在益处和疗效。方法：回顾性分析2017 - 2023年RARP患者围手术期资料。结果：在调整术前危险因素后，每组有118例倾向评分匹配的患者。hinotori组的中位总手术时间和中位坐位时间均明显延长（中位差异分别为26分钟和23分钟）。尽管hinotori组的估计失血量较低，但两组在术后并发症、手术边缘阳性率、12个月生化复发率和尿失禁恢复率方面没有显著差异。结论：虽然RARP需要更多的时间，但我们的研究表明，RARP可以在安装日鸟后立即进行安全有效的RARP。

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Comparison of Robot-Assisted Laparoscopic Prostatectomy Using the Made-in-Japan Robotic System Hinotori Versus Da Vinci: A Propensity Score-Matched Analysis

Background

We compared the surgical outcomes of patients who underwent robot-assisted radical prostatectomy (RARP) using hinotori with those of patients who underwent RARP using da Vinci Xi through propensity score matching to evaluate the potential benefits and efficacy of hinotori.

Methods

Perioperative data of patients who underwent RARP between 2017 and 2023 were retrospectively evaluated.

Results

After adjusting for preoperative risk factors, each group comprised 118 propensity score-matched patients. Both median total operative time and median console time were significantly longer in the hinotori group (median differences, 26 and 23 min, respectively). Although the hinotori group had lower estimated blood loss, no significant differences were noted between the groups in postoperative complications, positive surgical margin rates, 12-month biochemical recurrence rates, and urinary continence recovery rates.

Conclusions

Although RARP requires more time with hinotori, our study demonstrated that RARP can be performed safely and effectively immediately after the installation of hinotori.

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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.