优化泌尿器科同时进行机器人多站点手术:对比单个中心的经验和文献审查
Rafał B Drobot1,2, Marcin Lipa1,2, Weronika A Zahorska1,2
1Urology Department, Institute of Medical Sciences, Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszyński University in Warsaw, Bursztynowa St. 2, 04-479 Warsaw, Poland.
Journal of personalized medicine
|October 25, 2024
概括
同时进行机器人多部位泌尿外科手术,包括机器人辅助的激进前列腺切除和机器人辅助的部分切除,是安全的和可行的. 这些联合手术的结果与单独的手术结果相似,可能提高效率.
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
- 手术瘤学手术瘤学
背景情况:
- 同时的机器人多站点泌尿外科手术提供了提高效率的潜力.
- 评估结合手术的可行性和安全性,如机器人辅助激进前列腺切除术 (RARP) 和机器人辅助部分切除术 (RAPN),至关重要.
研究的目的:
- 评估并发机器人多站点泌尿外科手术的可行性,安全性和临床结果.
- 将机构病例系列与RARP和RAPN联合的现有文献进行比较,以及RARP与机器人横腹前皮 inguinal hernia修复 (RTAPPIHR) 进行比较.
主要方法:
- 八个同时进行机器人多站点手术 (2021-2024) 的机构病例的回顾性分析.
- 在PubMed,Embase和Cochrane图书馆对并发机器人手术的系统文献综述.
- 分析手术时间,血液损失和术后并发症;偏差风险评估.
主要成果:
- 机构病例显示可行和安全的并发机器人手术,平均手术时间为315分钟,血液损失为300毫升.
- 没有观察到明显的手术内并发症,积极的手术边缘或功能下降.
- 系统审查支持可行性和安全性,研究结果在RARP+RAPN和RARP+RTAPPIHR组合中一致.
结论:
- 同时进行机器人多部位手术 (RARP+RAPN,RARP+RTAPPIHR) 是安全且可行的.
- 这些联合手术在安全性和并发症率方面似乎与单独的手术无差.
- 潜在的好处包括减少手术时间,缩短住院时间和有效利用资源,这证明了进一步的潜在试验.
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