使用ILY机器人柔性尿道镜进行逆行性内手术:一个单一中心体验
Jan Łaszkiewicz1, Wojciech Krajewski2, Łukasz Nowak2
1University Center of Excellence in Urology, Wrocław Medical University, Wrocław, Poland.
Central European journal of urology
|April 22, 2024
概括
机器人ILY是机器人柔性尿道镜的可行工具,在逆行性内外科手术 (RIRS) 和miniECIRS手术中提供良好的无石头率. 泌尿科医生可以快速适应机器人系统,改善外科人体工程学和结果.
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
- 内分泌病学 在内分泌病学.
背景情况:
- ILY机器人柔性尿管镜旨在增强手术期间的人体工程学,减少操作人员的辐射暴露,缩短学习曲线.
- 目前的内泌尿外科程序可能具有挑战性,需要在手术工具方面取得进展.
研究的目的:
- 评估ILY机器人的临床性能和可行性.
- 评估机器人在逆行性内外科手术 (RIRS) 和联合内镜手术 (miniECIRS) 中的实用性.
主要方法:
- 使用ILY机器人臂 (2022-2023) 进行RIRS或miniECIRS的57名成年患者的回顾性分析.
- 在没有常规前支架的情况下,在仰卧姿势下进行了手术.
- 收集的数据包括设备设置时间,程序持续时间,无石头率和转换率.
主要成果:
- 设备设置 (拖放,对接,解接) 的平均时间约为4分钟.
- RIRS的平均手术时间为63分钟,miniECIRS的平均时间为55分钟.
- 没有石头的比率为RIRS的80.4%和miniECIRS的90.9%;碎片检索的转换率为36.9% (RIRS) 和72.7% (miniECIRS).
结论:
- 机器人ILY可用于内分泌手术,对于熟悉控制器的用户来说,学习曲线很短.
- 机器人系统提供了令人满意的无石头率.
- 机器人ILY显示了在RIRS和miniECIRS中改善结果的潜力.
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