技能从DaVinci®系统转移到HugoTM RAS系统
Rikke Groth Olsen1,2,3, Vladimir Karas4, Flemming Bjerrum5,6
1Copenhagen Prostate Cancer Center, Department of Urology, Copenhagen University Hospital - Rigshospitalet, Ole Malløes Vej 24, 2200, Copenhagen, Denmark. rikke.groth.olsen.01@regionh.dk.
International urology and nephrology
|September 29, 2023
概括
经验丰富的机器人外科医生可以将技能从DaVinci®转移到HugoTM进行激进前列腺切除术 (RARP). 最初的结果显示,手术时间相似,但手术后接触率和休戈TM的失禁率较高.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 机器人手术 机器人手术
- 手术创新 在外科创新.
背景情况:
- 雨果TM机器人手术系统是最近的一项临床创新.
- 技能转移对于采用新的外科技术至关重要.
- 激进前列腺切除术 (RARP) 是一种常见的机器人手术程序.
研究的目的:
- 为了评估从DaVinci®到HugoTM机器人系统的技能转移.
- 分析一个切换到HugoTM系统的外科医生的学习曲线.
- 为了在RARP期间比较DaVinci®和HugoTM之间的短期患者结果.
主要方法:
- 一位外科医生有超过1000个DaVinci® RARP病例进行了初始的HugoTM病例.
- 对于这两种系统,收集了术后和临床结果.
- 在手术后3个月内对患者进行了随访.
主要成果:
- 分析了19个雨果TM和11个达芬奇RARP案例.
- 没有观察到程序时间的显著差异.
- 雨果TM病例显示了更高的克拉维恩-丁多1级手术后接触率 (53%对18%).
- 三名HugoTM患者因导管功能故障,感染或与有关的内再次入院.
- 在PSA和勃起功能障碍方面,观察到类似的3个月结局.
- 在HugoTM组中观察到更高的 incontinence 发生率.
结论:
- 经验丰富的机器人外科医生可以将手术技能从DaVinci®转移到HugoTM进行RARP.
- 目前的数据并没有显示HugoTM对RARP的DaVinci®的明显优势.
- 需要进一步的证实性研究来验证这些发现.
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