Comparison of da Vinci SP and Xi surgical systems for robotic lateral transperitoneal adrenalectomy: a retrospective single-center observational study.

IF 1.2 4区医学 Q3 SURGERY

Annals of Surgical Treatment and Research Pub Date : 2025-06-01 Epub Date: 2025-06-02 DOI:10.4174/astr.2025.108.6.367

Da Young Yu, Young Woo Chang, Dohoe Ku, Seung Yeon Ko, Hye Yoon Lee, Gil Soo Son

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引用次数: 0

Abstract

Purpose: Robotic adrenalectomy was developed to address the limitations of laparoscopic adrenalectomy and enhance the visualization, dexterity, and control of surgeons performing this beneficial minimally invasive technique. This study compared the clinical and perioperative outcomes of lateral transperitoneal adrenalectomy using da Vinci SP and Xi robotic systems (Intuitive Surgical).

Methods: We retrospectively analyzed 84 patients who underwent robotic adrenalectomies at a single institution between January 2019 and July 2024. Sixty-two and 22 patients were treated with da Vinci Xi and SP systems, respectively.

Results: No significant differences in patient demographics, tumor size, or postoperative hospital stay between the 2 groups were observed. The SP system demonstrated significantly shorter operative times for right-sided adrenalectomy (81.0 ± 17.1 minutes vs. 113.3 ± 26.2 minutes, P < 0.001), whereas no significant differences were observed in overall operative time (104.9 ± 28.2 minutes for Xi vs. 93.5 ± 23.2 minutes for SP, P = 0.094) or left adrenalectomy (99.9 ± 28.4 minutes for Xi vs. 104.0 ± 23.0 minutes for SP, P = 0.253).

Conclusion: The da Vinci Xi and SP systems are both effective for robotic adrenalectomy, with the SP system showing particular advantages in right-sided procedures.

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达芬奇SP和Xi手术系统用于机器人侧经腹膜肾上腺切除术的比较：一项回顾性单中心观察研究。

目的：机器人肾上腺切除术的开发是为了解决腹腔镜肾上腺切除术的局限性，提高外科医生实施这项有益的微创技术的可视性、灵活性和控制力。本研究比较了使用达芬奇SP和Xi机器人系统（Intuitive Surgical）进行侧位经腹膜肾上腺切除术的临床和围手术期结果。方法：我们回顾性分析了2019年1月至2024年7月在同一家机构接受机器人肾上腺切除术的84例患者。采用da Vinci Xi系统治疗62例，SP系统治疗22例。结果：两组患者人口统计学、肿瘤大小、术后住院时间均无显著差异。SP系统显示右侧肾上腺切除术的手术时间明显缩短（81.0±17.1分钟比113.3±26.2分钟，P < 0.001），而总手术时间（Xi为104.9±28.2分钟比SP为93.5±23.2分钟，P = 0.094）或左侧肾上腺切除术（Xi为99.9±28.4分钟比SP为104.0±23.0分钟，P = 0.253）无显著差异。结论：达芬奇Xi和SP系统在机器人肾上腺切除术中都是有效的，SP系统在右侧手术中表现出特别的优势。

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

Annals of Surgical Treatment and Research SURGERY-

CiteScore

2.30

自引率

7.10%

发文量

期刊介绍： Manuscripts to the Annals of Surgical Treatment and Research (Ann Surg Treat Res) should be written in English according to the instructions for authors. If the details are not described below, the style should follow the Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publications available at International Committee of Medical Journal Editors (ICMJE) website (http://www.icmje.org).