泌尿外科远程手术的可行性和初步结果:文献系统综述。

IF 4.5 3区 医学 Q1 UROLOGY & NEPHROLOGY
Sávio Valadares Ferreira, Murilo Henrique Sugai, Guilherme Corrêa Nascimento, Antonino Caetano Souza, Gustavo Colombo Cabrini, Fernando Martins Rodrigues, Cleverson Luiz Rocha D'Avila, Geovanne Furtado Souza, Ricardo Vieira Zerati, Miguel Zerati
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引用次数: 0

摘要

远程外科手术允许在远距离上进行手术,但由于缺乏数据,其可行性尚未得到巩固。由于这是一种很有前途的模式,因此有必要说明关于这一主题的当前情况。目的:回顾以手术成功率为首要目标,以患者预后和网络系统为最重要目标的文献。材料和方法:2024年6月,我们遵循PRISMA指南,对人类泌尿外科机器人手术进行了研究试验。排除标准包括:社论、专家意见、远程指导、远程培训、小手术、非远程手术、无兴趣结果、非人类或尸体远程手术。结果:598项研究通过同行评议和第三方评议确定了差异,都是根据先前建立的纳入和排除标准进行的,在排除后选择了6项研究。我们发现54例接受泌尿外科远程手术的患者;所有手术均无并发症,无需转开腹手术。几乎所有的手术都在中国进行(98.14%),使用最多的机器人模型是MicroHand S(83.33%)。肾切除术是首选手术(57%)。平均手术时间为66.2 (IQR) 56.6分钟。术中出血时间为68.6±76.7 ml。住院时间5.5 (IQR) 5天。主刀医师与患者之间的距离在2581.5公里(IQR) 2871公里之间。5G网络使用率最高(98.14%)。总网络延迟时间为176 (IQR) 10.9毫秒。结论:尽管有其局限性,但有证据表明,泌尿生殖系统机器人手术是安全可行的,但这是一个必须充分讨论和进一步研究的课题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Feasibility and Initial Outcomes of Telesurgery in Urology: a Systematic Review of the Literature.

Feasibility and Initial Outcomes of Telesurgery in Urology: a Systematic Review of the Literature.

Introduction: Telesurgery allows the procedures to be carried out over long distances, however due to lack of data, its feasibility has not been consolidated yet. Since it is a promising modality, it is important to illustrate the current scenario on this subject.

Objective: To review the literature aiming at the surgical success rate as a primary objective, and secondly, the most important patient outcomes and the network system.

Materials and methods: In June 2024, we followed PRISMA guidelines to research trials on urological robotic surgery in humans. We used as exclusion criteria: editorials, specialist's opinions, tele-mentoring, tele-training, small procedures, non-remote surgeries, absence of interest outcomes, telesurgeries in non-humans or in cadaver.

Results: Five hundred and ninety eight studies were identified with peer review and a third reviewer for divergencies, both directed by previously established inclusion and exclusion criteria, selecting 6 studies after the exclusions. We found 54 patients who underwent urological telesurgeries; all of them were accomplished with no complications or need for conversion to open surgery. Almost all the procedures were carried out in China (98.14%) and the most used robotic model was MicroHand S (83.33%). Nephrectomy was the procedure of choice (57%). Mean surgical time was 66.2 (IQR) 56.6 minutes. Intraoperative bleeding time was 68.6 ± 76.7 milliliters. Hospital stay was 5.5 (IQR) 5 days. The distance between main surgeon and the patient was between 2,581.5 (IQR) 2,871 kilometers. 5G network was used the most (98.14%). The total network latency time was 176 (IQR) 10.9 milliseconds.

Conclusion: Despite its limitations, there was evidence demonstrating that robotic surgery in the genitourinary system is safe and feasible, however it is a subject that must be well discussed, and further studies must be carried out.

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来源期刊
International Braz J Urol
International Braz J Urol UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
21.60%
发文量
246
审稿时长
6-12 weeks
期刊介绍: Information not localized
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