使用Versius系统的腹膜外机器人辅助腹腔镜前列腺切除术:单中心经验。

IF 5.1 2区 医学 Q1 ONCOLOGY
F. Dibitetto, C. Fede Spicchiale, R. Castellucci, S. Sansalone, A. Akhundov, L. Defidio, M. De Dominicis
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引用次数: 0

摘要

简介Versius 外科系统(英国剑桥 CMR 外科公司)是一种新型远程操作机器人外科系统,旨在协助外科医生进行微创手术,在机器人外科领域的发展势头日益强劲。我们介绍了单中心使用 Versius 的经验,并报告了这种新型机器人系统在 53 例前列腺癌(PCa)腹膜外机器人辅助腹腔镜前列腺切除术(eRALP)中的优势和挑战:收集并分析了本中心使用 Versius 进行的 53 例 eRALP 的数据,并使用描述性统计学方法报告结果:在 16 个月内,我们进行了 53 例 eRALP:18 例(34%)伴有 PLND,33 例(62%)保留神经。平均设置时间为 15 分钟,平均控制台时间为 100 分钟,平均手术时间为 130 分钟。我们观察到,仅用了 5 次手术,控制台时间和准备时间就大大缩短了。在前4例手术中,神经血管束的解剖是通过腹腔镜进行的,之后转回机器人辅助方法。未发现重大系统故障。术中和术后均未出现重大并发症。平均随访时间为9个月(3-15个月);在此期间,没有患者出现生化复发或转移进展,8名(15%)患者因病理报告不利(手术切缘阳性或边缘结节阳性)而接受了辅助放疗:据我们所知,这是使用 Versius 的最大腹膜外 RALP 病例系列,旨在为这一创新系统的安全性、有效性和多功能性提供可靠的临床证明。根据我们的经验,该平台是所有希望开始机器人手术的泌尿外科医生的最佳选择,尤其适合拥有丰富腹腔镜专业知识的泌尿外科医生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Extraperitoneal robot assisted laparoscopic prostatectomy with Versius system: single centre experience

Extraperitoneal robot assisted laparoscopic prostatectomy with Versius system: single centre experience

Extraperitoneal robot assisted laparoscopic prostatectomy with Versius system: single centre experience
Versius Surgical System (CMR Surgical, Cambridge, UK) is a novel tele-operated robotic surgical system designed to assist surgeons for minimally invasive surgery which is gaining momentum in the world of robotic surgery. We describe our single centre experience with Versius and report the advantages and challenges posed by this new robotic system in a series of 53 extraperitoneal robotic assisted laparoscopic prostatectomies (eRALP) for prostate cancer (PCa). Data of 53 eRALP performed with Versius in our centre were collected and analysed, Descriptive statistics were used to report our results. In 16 months we performed 53 eRALP: 18 (34%) with PLND, 33 (62%) nerve sparing cases. Mean setup time was 15 min, mean console time was 100 min and mean operative time was 130 min. We observed a substantial reduction of console time and set-up time after only 5 procedures. In the first 4 procedures, the dissection of the neurovascular bundle was performed laparoscopically, to switch back to robotic assisted approach afterwards. No major system failures were observed. No major intra-operative and post-operative complications occurred. Mean follow-up time was 9 months (range 3–15 months); no patients experienced biochemical recurrence or metastatic progression over this period, 8 (15%) patients had adjuvant radiotherapy based on unfavourable pathology report (positive surgical margins or positive limphnodes). This represents to our knowledge the largest extraperitoneal RALP case series with Versius, and it aims to provide solid clinical proof of the safety, effectiveness and versatility of this innovative system. In our experience, this platform represents a good option for every urologic surgeon who wants to start a robotic programme and it appears particularly suitable for urologists with a large laparoscopic expertise.
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来源期刊
Prostate Cancer and Prostatic Diseases
Prostate Cancer and Prostatic Diseases 医学-泌尿学与肾脏学
CiteScore
10.00
自引率
6.20%
发文量
142
审稿时长
6-12 weeks
期刊介绍: Prostate Cancer and Prostatic Diseases covers all aspects of prostatic diseases, in particular prostate cancer, the subject of intensive basic and clinical research world-wide. The journal also reports on exciting new developments being made in diagnosis, surgery, radiotherapy, drug discovery and medical management. Prostate Cancer and Prostatic Diseases is of interest to surgeons, oncologists and clinicians treating patients and to those involved in research into diseases of the prostate. The journal covers the three main areas - prostate cancer, male LUTS and prostatitis. Prostate Cancer and Prostatic Diseases publishes original research articles, reviews, topical comment and critical appraisals of scientific meetings and the latest books. The journal also contains a calendar of forthcoming scientific meetings. The Editors and a distinguished Editorial Board ensure that submitted articles receive fast and efficient attention and are refereed to the highest possible scientific standard. A fast track system is available for topical articles of particular significance.
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