A new surgical technique of robotic-assisted laparoscopic nephroureterectomy without re-docking in a single position: a single center experience.

IF 2.2 3区 医学 Q2 SURGERY
Ding Xu, Hailong Liu, Ye Lei, Weiming Wang, Xingang Cui, Haibo Shen
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Abstract

A nephroureterectomy conventionally consists of two independent section, which will considerably prolong the operation time. We developed a novel surgical technique for robotic-assisted laparoscopic nephroureterectomy without re-docking in a single position and aimed to access the safety, feasibility, and efficiency of our novel surgical technique. From August 2021 to October 2023, 53 patients who received robotic-assisted laparoscopic nephroureterectomy were retrospectively enrolled in this study. 25 patients underwent traditional nephroureterectomy and 28 patients underwent single-position nephroureterectomy. The basic characteristics of the enroll patients, perioperative parameters, and oncological outcomes were gathered and compared between novel technique robotic surgery group and traditional surgery group. The basic characteristics between two groups had no significantly difference except for the proportion of anticoagulation therapy. The operation time in novel technique robotic surgery group was shorter than that in traditional robotic surgery group, although there was no significant difference (p = 0.403). Lymph-node dissection in novel technique robotic surgery group was obvious more common than that in traditional robotic surgery group (p = 0.037), while the incision length in novel technique robotic surgery group was obviously shorter than that in traditional robotic surgery group (p < 0.001). The oncological outcomes showed no difference between two groups. Compared with traditional robotic-assisted laparoscopic nephroureterectomy, the innovative surgical technique of robotic-assisted laparoscopic nephroureterectomy in a single position showed the advantages of less surgical time, streamlined lymph-node dissection, less trauma, and expedited postoperative recovery, which is worth promoting in clinical practice.

机器人辅助腹腔镜肾切除术的新手术技术,无需在单一位置重新对接:单中心经验。
传统的肾切除术包括两个独立的部分,这将大大延长手术时间。我们开发了机器人辅助腹腔镜肾切除术的新型手术技术,无需在单个位置重新对接,旨在了解新型手术技术的安全性、可行性和效率。本研究回顾性纳入了 2021 年 8 月至 2023 年 10 月期间接受机器人辅助腹腔镜肾切除术的 53 例患者。25名患者接受了传统肾切除术,28名患者接受了单体位肾切除术。研究收集了入组患者的基本特征、围手术期参数和肿瘤学结果,并对新技术机器人手术组和传统手术组进行了比较。除抗凝治疗比例外,两组患者的基本特征无明显差异。新技术机器人手术组的手术时间短于传统机器人手术组,但无明显差异(P = 0.403)。新技术机器人手术组的淋巴结清扫明显多于传统机器人手术组(P = 0.037),而新技术机器人手术组的切口长度明显短于传统机器人手术组(P = 0.037)。
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来源期刊
CiteScore
4.20
自引率
8.70%
发文量
145
期刊介绍: The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.
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