“SHURUI”单端口机器人辅助肾盂成形术治疗输尿管骨盆连接处梗阻后的功能结果:单中心经验

RuiXiao Li, JianXin Ni, Xuelian Li, Bin Wu, Bo Li, RuiPing Su, Song Xue, YongPan An, GuoJun Wu
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摘要

背景初步探讨国产单孔机器人辅助肾盂成形术治疗肾盂输尿管连接处梗阻的安全性和有效性。方法回顾性分析2023年11月至2024年5月采用“SHURUI”SP系统单部位入路行单孔机器人辅助肾盂成形术患者的数据。详细资料包括患者人口统计资料、术中和术后数据以及手术结果。结果纳入20例患者,年龄13 ~ 39岁,男女比例为4:1。临床表现:腹痛7例,感染2例,无症状11例。所有手术均成功,平均手术时间147(IQR, 125 ~ 175) min,出血量35(IQR, 30 ~ 60) mL,住院时间5(IQR, 3 ~ 6)d。术后6-8周取出输尿管支架,术后4个月CT扫描显示疼痛和梗阻消除100%成功。结论SHURUI单孔机器人辅助肾盂成形术是一种安全可行的治疗成人和儿童UPJO的方法。
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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Functional Outcomes After ‘SHURUI’ Single-Port Robot-Assisted Pyeloplasty for Uretero Pelvic Junction Obstruction: Single-Centre Experience

Background

To explore the preliminary safety and efficacy of domestic single-port robot-assisted pyeloplasty in ureteropelvic junction obstruction.

Methods

Data from patients undergoing single-port robotic-assisted pyeloplasty (November 2023—May 2024) using the ‘SHURUI’ SP system through a single-site approach were reviewed. Details included patient demographics, intraoperative and postoperative data, and surgical outcomes.

Results

The study included 20 patients, ages 13–39, with a male-to-female ratio of 4:1. Clinical presentations:abdominal pain (7cases), infection (2cases), and asymptomatic (11cases). All surgeries were successful, with an average operation time of 147(IQR, 125–175) minutes, blood loss of 35(IQR, 30–60) mL, and a hospital stay of 5(IQR, 3–6)days. The ureteral stent was removed 6–8 weeks post-surgery, with a subsequent CT scan at 4 months showing 100% success based on pain and obstruction resolution.

Conclusion

The ‘SHURUI’ single-port robotic-assisted pyeloplasty is a safe and feasible treatment for UPJO in both adults and paediatric patients.

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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.
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