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门诊与住院单端口机器人泌尿外科手术:外科手术期间的结果和并发症
Antony A Pellegrino1,2,3, Ruben Sauer Calvo3, Francesco Pellegrino1,2
1Division of Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Urology practice
|February 20, 2024
概括
在使用达芬奇单端口 (SP) 系统进行机器人手术后,同日放电 (SDD) 是安全的和可行的. 与住院治疗相比,门诊手术没有增加并发症或再入院,改善了患者的体验.
科学领域:
- 最少侵入性的手术
- 机器人手术 机器人手术
- 外科手术的结果
背景情况:
- 达芬奇单端口 (SP) 系统提供了最少的侵入性手术选择.
- 正在探索门诊机器人手术,以提高患者体验并降低医疗保健成本.
- 评估当日出院 (SDD) 的可行性对于优化机器人手术途径至关重要.
研究的目的:
- 评估使用达芬奇SP系统进行机器人手术后的当日出院 (SDD) 的外科结果和安全性.
- 为了比较门诊机器人手术与传统住院手术的结果.
- 确定转向SP机器人手术的门诊模式的可行性和安全性.
主要方法:
- 在2019年1月至2023年2月期间,对374名接受达芬奇SP手术的患者进行了回顾性分析.
- 在标准化门诊 (SDD) 和住院治疗方案之间比较术后结果,并发症和再入院.
- 根据具体指导方针和术后随访,评估患者是否有资格接受SDD.
主要成果:
- 门诊手术 (n=208) 与住院手术 (n=166) 相比,与术后并发症或再入院的增加无关.
- 在门诊患者中,显著更高的比例没有出现并发症 (90%) 与住院患者 (74.6%) (P=<.001).
- 成功SDD的比率随着时间的推移而增加,到2022年10月达到88%.
结论:
- 使用达芬奇SP系统的门诊机器人手术是安全和可行的.
- 过渡到SDD途径不会增加术后并发症或再入院.
- 达芬奇SP系统有助于成功的门诊机器人手术,增强患者护理,并可能降低成本.
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