Robot-Assisted Colectomy for Left-Sided Colon Cancer: Comparison of da Vinci SP and Single-Site Platforms

IF 2.3 3区 医学 Q2 SURGERY
Kyeong Eui Kim, Woon Kyung Jeong, Seong Kyu Baek, Sung Uk Bae
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Abstract

Background

To compare the clinicopathological and cosmetic outcomes of robotic colectomy using the da Vinci SP and Single-Site for left-sided colon cancer.

Methods

The study included 31 and 52 patients who underwent robotic colectomy using the SP and Single-Site, respectively, between July 2011 and July 2023. The Patient Scar Assessment Questionnaire (PSAQ) was used to assess cosmetic outcomes.

Results

Patients who underwent colectomy using the SP had a shorter wound length, less bleeding, and fewer port usages compared with those who underwent colectomy using the Single-Site. The SP group required fewer analgesics on post-operative day 2, showed a shorter time to flatulence, sip water and soft diet, and a shorter hospital stay. Total PSAQ scores for the SP group were superior to those of the Single-Site group.

Conclusions

Robotic colectomy for left-sided colon cancer using the SP presents better short-term recovery, requires fewer analgesics and has better cosmetic outcomes than Single-Site.

机器人辅助左侧结肠癌结肠切除术:达芬奇SP与单点平台的比较
研究背景:比较达芬奇机器人结肠切除术和单侧结肠切除术治疗左侧结肠癌的临床病理和美容效果。方法本研究纳入2011年7月至2023年7月期间分别采用SP和Single-Site进行机器人结肠切除术的31例和52例患者。患者疤痕评估问卷(PSAQ)用于评估美容效果。结果与单站点结肠切除术患者相比,使用SP的患者伤口长度更短,出血更少,端口使用更少。SP组术后第2天需要的镇痛药较少,出现胀气、喝水和软性饮食的时间较短,住院时间较短。SP组的PSAQ总分优于单位点组。结论采用SP进行左侧结肠癌机器人结肠切除术,短期恢复效果好,需要的镇痛药物少,美容效果好。
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来源期刊
CiteScore
4.50
自引率
12.00%
发文量
131
审稿时长
6-12 weeks
期刊介绍: The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.
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