Effects of modifying hinotori™ surgical robot system on perioperative outcome of robot-assisted radical prostatectomy

IF 1.8 3区医学 Q3 UROLOGY & NEPHROLOGY

International Journal of Urology Pub Date : 2024-10-01 DOI:10.1111/iju.15593

Jun Teishima, Naoto Wakita, Yukari Bando, Yasuyoshi Okamura, Kotaro Suzuki, Takuto Hara, Tomoaki Terakawa, Koji Chiba, Kei Matsushita, Yuzo Nakano, Hiroaki Kitatsuji, Hideaki Miyake

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引用次数: 0

Abstract

Objectives

One of the main advantages of the hinotori™ surgical robot system (HSRS) is that it can be easily adjusted. This study aimed to clarify the effects of modifying the HSRS on the perioperative outcomes of robotic-assisted radical prostatectomy (RARP).

Methods

Overall, 158 cases of RARP using the HSRS were classified into three groups based on the modification to the system: group A (no modification, 70 cases), group B (addition of the ability to switch between two types of scopes and to adjust the arm base tilt back and forth, left and right, 42 cases), and group C (reduction of arm floating sensation, mitigation of emergency stop during arm collision, and addition of clutch function via hand switch in addition to foot pedal, 46 cases). The perioperative outcomes of each group were compared.

Results

The median of operation time, cockpit time, and cockpit time excluding the time required for lymph node dissection of group C were 223, 146, and 135 min, respectively, where are significantly shorter than those of group A (308, 228, and 208 min, p < 0.0001, respectively) and group B (319, 241, and 214 min, p < 0.0001, respectively). There was no significant difference in the rate of positive margin rates and the pad-free rate before the first follow-up visit among these three groups. The complication rates in groups A, B, and C were 11.4%, 9.4%, and 8.4% (Clavien-Dindo grades I–II), and 4.3%, 2.4%, and 0% (grade III), respectively.

Conclusions

The modifications to the HSRS have enabled smoother surgical procedures for RARP.

查看原文本刊更多论文

改进 hinotori™ 手术机器人系统对机器人辅助根治性前列腺切除术围手术期效果的影响。

目的：hinotori™手术机器人系统（HSRS）的主要优点之一是易于调整。本研究旨在阐明调整 HSRS 对机器人辅助根治性前列腺切除术（RARP）围术期疗效的影响：根据对系统的改动情况，将158例使用HSRS的RARP手术分为三组：A组（无改动，70例）、B组（增加了在两种手术镜之间切换的功能，并可前后左右调节手臂底座的倾斜度，42例）和C组（减少了手臂漂浮感，减轻了手臂碰撞时的紧急停止功能，并在脚踏板之外通过手部开关增加了离合器功能，46例）。对各组的围手术期结果进行了比较：结果：C 组的手术时间、驾驶舱时间和驾驶舱时间（不包括淋巴结清扫所需时间）的中位数分别为 223 分钟、146 分钟和 135 分钟，明显短于 A 组（308 分钟、228 分钟和 208 分钟）：对 HSRS 的修改使 RARP 的手术过程更加顺畅。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Urology 医学-泌尿学与肾脏学

CiteScore

4.70

自引率

11.50%

发文量

340

审稿时长

3 months

期刊介绍： International Journal of Urology is the official English language journal of the Japanese Urological Association, publishing articles of scientific excellence in urology. Submissions of papers from all countries are considered for publication. All manuscripts are subject to peer review and are judged on the basis of their contribution of original data and ideas or interpretation.