低龄儿童机器人泌尿外科手术的局限性和并发症:破除旧观念。

J González-Cayón, A Parente, J I Garrido, V Vargas, R M Paredes
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引用次数: 0

摘要

导言:尽管在小儿机器人手术出现之初,与患者体型小相关的某些技术限制被认为是理所当然的,但现在我们可能正面临着范式转变,挑战着这些旧观念:尽管在小儿机器人手术问世之初,与患者体型小相关的某些技术限制被认为是理所当然的,但现在我们可能正面临着范式转变,挑战着这些旧观念:对2022年5月至2023年10月期间接受达芬奇-Xi(IS4000)辅助泌尿外科手术的患者进行回顾性研究。患者被分为两组--A 组 结果17名患者(A组9名,B组8名)接受了手术。中位年龄分别为 29 个月(A 组)和 109 个月(B 组)(p 结论:尽管在机器人手术出现后,为年龄较小的儿童进行手术似乎比为年龄较大的儿童进行手术更为复杂,但我们的系列研究结果却相似。12个月以下的患者没有包括在内,这意味着需要更大规模的研究来证明这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Limitations and complications of robotic urological surgery in younger children: debunking old beliefs.

Introduction: Even though certain technical limitations associated with the small size of the patients were taken for granted in the advent of pediatric robotic surgery, we could now be facing a paradigm shift challenging these old beliefs.

Materials and methods: A retrospective study of patients undergoing Da-Vinci-Xi(IS4000)-assisted urological surgery from May 2022 to October 2023 was carried out. Patients were divided into two groups -Group A < 15 kg and Group B ≥ 15 kg. Operating times, hospital stay, and intra- and postoperative complications were compared.

Results: 17 patients (9 in Group A, 8 in Group B) underwent surgery. Median age was 29 months (A) and 109 months (B) (p< 0.001). Median weight was 12.0 kg (A) and 31.5 kg (p< 0.001). Operating time was 162 min (A) and 130 min (p= 0.203). Console time was 99 min (A) and 70 min (B) (p= 0.065). Mean hospital stay was 2 days (A) and 3 days (B) (p= 0.41). No differences were found in terms of intraoperative (p= 0.453) or postoperative (p= 0.485) complications.

Conclusions: Even though operating on younger children seemed more complicated than on older ones in the advent of robotic surgery, the results in our series were similar. The fact patients under 12 months of age were not included means larger studies are required to prove this.

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