Implementation and Utility of the Da Vinci SP (Single Port) in Pediatric Urology.

IF 2.5 2区医学 Q2 UROLOGY & NEPHROLOGY

Current Urology Reports Pub Date : 2024-10-03 DOI:10.1007/s11934-024-01231-7

Lucas A Arney, Randall G Bissette, Jordan M Smith, Christopher E Bayne

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Abstract

Purpose of review: Detail the evolution, utility, and future directions of the da Vinci SP® in pediatric urology, focusing on perioperative outcomes and intraoperative details.

Recent findings: The SP has been safely and successfully utilized in various pediatric urological procedures, from pyeloplasty to nephroureterectomy to appendicovesicostomy. Reports indicate mixed operative times but similar hospital stays and postoperative outcomes compared to multiport (MP) robotic surgery. The learning curve for transitioning from MP to SP systems in pediatric patients appears manageable, though the smaller abdominal circumference in children poses a notable challenge. This review assumes that SP systems will primarily be acquired for adult services, not considering initial and ongoing costs to hospital systems. The SP serves as a complementary option, rather than a replacement, for MP robotic surgery in pediatric urology, offering potential advantages in specific scenarios. Cosmetic outcomes with the SP appear at least as favorable as MP surgery, but further research is needed. Future research should focus on patient-centered outcomes to optimize SP robotic surgery use in pediatric patients.

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达芬奇 SP（单孔）在小儿泌尿外科中的应用和效用。

综述目的：详细介绍达芬奇SP®在小儿泌尿外科中的发展、实用性和未来方向，重点关注围手术期结果和术中细节：最近的研究结果：达芬奇SP已安全、成功地应用于各种小儿泌尿外科手术，从肾盂成形术、肾切除术到阑尾造口术。报告显示，与多孔（MP）机器人手术相比，手术时间不一，但住院时间和术后效果相似。儿科患者从MP系统过渡到SP系统的学习曲线似乎是可控的，但儿童较小的腹围构成了明显的挑战。本综述假定 SP 系统主要用于成人服务，不考虑医院系统的初始和持续成本。SP 可作为小儿泌尿外科 MP 机器人手术的补充方案，而非替代方案，在特定情况下具有潜在优势。SP的美容效果看起来至少与MP手术一样好，但仍需进一步研究。未来的研究应侧重于以患者为中心的结果，以优化SP机器人手术在儿科患者中的应用。

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

Current Urology Reports UROLOGY & NEPHROLOGY-

CiteScore

4.60

自引率

3.80%

发文量

期刊介绍： This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.