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Updated: Feb 12, 2026
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Robot-assisted Partial Splenectomy
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Experiencia inicial con la nefrorrectomía asistida por robot utilizando el sistema de cirugía asistida por robot Hugo
Shuichi Morizane1, Atsushi Yamamoto1, Hiroshi Yamane1
1Division of Urology, Department of Surgery, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.
Asian journal of endoscopic surgery
|February 10, 2026
Resumen
La nefrorrectomía radical retroperitoneal asistida por robot (RANU) utilizando el sistema de cirugía asistida por robot Hugo (HRS) es factible y puede reducir la interferencia en el brazo. Se necesita más investigación para confirmar estos hallazgos en cohortes de pacientes más grandes.
Área de la Ciencia:
- Urología Urología Urología.
- Cirugía robótica en cirugía robótica.
- Oncología Quirúrgica Oncología Quirúrgica.
Sus antecedentes:
- La nefrorrectomía radical asistida por robot (RANU) es un procedimiento clave para el carcinoma urotelial del tracto superior.
- La evaluación de nuevos sistemas robóticos como el sistema de cirugía asistida por robot Hugo (HRS) es crucial para optimizar las técnicas quirúrgicas.
- Comparar los enfoques transperitoneal y retroperitoneal es esencial para determinar la colocación óptima del puerto y mejorar los resultados del paciente.
Objetivo del estudio:
- Para determinar la ubicación óptima del puerto para el RANU retroperitoneal utilizando el HRS.
- Para comparar los resultados perioperatorios entre RANU transperitoneal y retroperitoneal con HRS.
- Para evaluar y comparar la interferencia del brazo y los errores relacionados con el sistema entre los dos enfoques.
Principales métodos:
- Análisis retrospectivo de 21 pacientes sometidos a RANU con SRH (2023-2025).
- Los pacientes se dividieron en grupos transperitoneal (n=13) y retroperitoneal (n=8).
- Comparación de datos demográficos, métricas perioperatorias, interferencia del brazo y errores del sistema utilizando las pruebas estadísticas apropiadas.
Principales resultados:
- Los tiempos operativos, la pérdida de sangre y las tasas de complicaciones fueron similares entre los enfoques.
- El RANU retroperitoneal mostró significativamente menos errores de interferencia en el brazo (p=0,011).
- El enfoque transperitoneal tuvo un tiempo más corto de incisión a rodaje (p = 0,015), mientras que el retroperitoneal favoreció el rodaje hasta el inicio de la consola (p = 0,045).
Conclusiones:
- El HRS-RANU retroperitoneal es un enfoque factible en la cohorte estudiada.
- El enfoque retroperitoneal puede ofrecer ventajas en la reducción de la interferencia del brazo durante RANU.
- Se necesitan estudios más amplios para validar estos hallazgos preliminares y confirmar los beneficios del HRS-RANU retroperitoneal.
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