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机器人与开放的III-IV水平下静脉瘤切除术:一个多中心,回顾性,倾向匹配的分析
Liangyou Gu1, Lin Yao2, Qingbo Huang1
1Department of Urology, Chinese PLA General Hospital, Beijing, China.
概括
机器人下腔静脉血栓切除术 (IVCTE) 对III-IV级血栓的瘤是安全的,表现出与开放IVCTE相似的瘤结果. 这种机器人方法在特定的患者选择中提供了潜在的好处.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 与开放IVCTE相比,机器人下静脉瘤切除术 (R-IVCTE) 对晚期瘤血栓 (III-IV级) 的安全性和有效性尚不清楚.
- 这项研究解决了对这些手术方法的比较数据的需求.
研究的目的:
- 为了比较机器人vs开放的下静脉栓切除术对脏瘤与III-IV级血栓的周围手术和瘤结局.
- 在选定的情况下评估R-IVCTE的可行性和安全性.
主要方法:
- 在四个学术中心2015-2023年间对接受R-IVCTE或开放IVCTE (O-IVCTE) 的患者进行了回顾性分析.
- 使用倾向性得分匹配来确保各组之间具有可比的基线特性.
- 使用卡普兰-梅尔曲线和日志等级测试分析了外科手术期间的数据,预后,无进展生存率和整体生存率.
主要成果:
- 匹配的队列包括30名R-IVCTE和O-IVCTE患者.
- R-IVCTE与更长的手术时间 (508分 vs 322分) 相关,但心肺旁路率较低 (33.3% vs 66.7%).
- 机器人手术导致了更长的重症监护室停留 (5 vs 2 天),但整体住院时间更短 (10 vs 13 天),瘤结果和并发症率相似.
结论:
- 机器人下静脉瘤切除术 (R-IVCTE) 是对某些患有脏瘤和III-IV级血栓的患者来说可行的和安全的选择.
- R-IVCTE显示了与开放IVCTE相比较的术后和瘤结果.
- 这些发现支持在适当的临床场景中考虑R-IVCTE.
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