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实施单端口机器人泌尿外科手术:在一个大型学术中心的经验

Francesco Ditonno¹, Antonio Franco¹, Leslie Claire Licari¹

¹Department of Urology, Rush University Medical Center, 1725 W. Harrison Street, Suite 970, Chicago, IL, 60612, USA.

Journal of robotic surgery

|March 16, 2024

概括

单端口 (SP) 机器人手术对于泌尿外科手术来说是安全有效的. 使用SP平台的经验增加使得人们能够转向外皮外方法,从而可能减少康复时间和住院时间.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
机器人手术机器人手术

背景情况:

单端口 (SP) 机器人系统正在为美国的微创性泌尿外科手术获得吸引力.
评估单一中心的经验对于理解SP平台的采用和演变至关重要.

研究的目的:

描述一个单一中心的经验,SP机器人平台的泌尿外科手术.
分析手术和病理结果以及随着时间的推移的技术演变.

主要方法:

从2020年12月到2023年12月连续160起SP病例的回顾性分析.
收集的人口统计,手术和病理学数据.
将研究分为两期,以评估SP技术的变化.

主要成果:

机器人辅助激进前列腺切除术 (RARP) 是最常见的手术 (49.4%).
额外腹膜外的方法显著增加,从30%增加到74.3% (p<0.001).
转向"纯"SP手术的比例从21.1%增加到76.7% (p<0.001),手术后并发症减少 (9.4%任何级别,2.5%Clavien-Dindo≥3) 和1.9%30天再入院.

结论:

单端口机器人手术是各种泌尿外科手术的安全有效选择.
越来越多的经验有助于转向额外外皮治疗方法,这可能会改善患者的治疗结果.
该SP平台支持增强恢复,包括更短的住院时间和减少术后疼痛.

关键词:

部分切除术部分切除术进行激进的前列腺切除术.简单的前列腺切除术单个端口单个端口

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