在机器人辅助根治性前列腺切除术的学习期间,使用单个和多个机器人系统的围手术期疗效比较

IF 0.9 Q4 ORTHOPEDICS
Yuto Matsushita, Yoshihiro Tsuchiya, Gaku Ishikawa, Asuka Sano, Ayana Takemura, Shunsuke Watanabe, Kyohei Watanabe, Hiromitsu Watanabe, Keita Tamura, Daisuke Motoyama, Atsushi Otsuka, Teruo Inamoto
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引用次数: 0

摘要

本研究旨在评估机器人辅助根治性前列腺切除术(RARP)学习期间使用多种手术机器人系统(hinotori和da Vinci)的围手术期结果,并将其与仅使用da Vinci训练的外科医生的观察结果进行比较。方法本研究包括2名使用多机器人系统学习RARP的外科医生(hinotori和da Vinci Xi组[H&;D])和4名仅使用da Vinci学习RARP的外科医生(D组)。我们回顾性地收集了每位外科医生最初25例的资料。比较两组患者的围手术期结果,包括使用机器人系统的时间、PSA复发情况和术后3个月的尿失禁情况。结果两组患者的临床特征无明显差异。H&;D组外科医生作为泌尿科医生和腹腔镜外科医生的经验较短,但作为RARP助理的经验丰富,H&;D组在RARP方面的机构经验更丰富。围手术期的结果,特别是使用机器人系统的时间、PSA复发率和术后3个月的无垫率,两组之间没有显著差异。多变量分析表明,两组患者使用机器人系统的时间和无垫率无显著差异。结论同时使用hinotori和da Vinci的RARP学习期围手术期疗效与仅使用da Vinci的RARP学习期疗效无显著差异;虽然接受培训的H&;D组外科医生相对年轻,但他们在经验更丰富的机构担任RARP助理的经验略多一些。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparing Perioperative Outcomes Using Single and Multiple Robot Systems During the Learning Period for Robot-Assisted Radical Prostatectomy

Introduction

This study aimed to assess the perioperative outcomes during the learning period for robot-assisted radical prostatectomy (RARP) using multiple surgical robot systems, namely hinotori and da Vinci, and compare them with those observed for surgeons trained using only da Vinci.

Methods

This study included two surgeons who learned RARP using multiple robot systems (hinotori and da Vinci Xi [H&D] group) and four surgeons who learned using only da Vinci (D group). We retrospectively collected data from the initial 25 cases of each surgeon. Perioperative outcomes, including the time using the robotic system, PSA recurrence, and urinary continence at 3 months after surgery, were compared between the two groups.

Results

The patient characteristics were not significantly different between the two groups. The H&D group surgeons had shorter experience as urologists and laparoscopic surgeons but had extensive experience as assistants of RARP, and the institutional experience with RARP was greater in the H&D group. The perioperative outcomes, specifically the time using the robotic system, PSA recurrence rate, and pad-free rate at 3 months after surgery, did not significantly differ between the two groups. The multivariate analysis indicated that the time using the robotic system and pad-free rate were not significantly different between the two groups.

Conclusions

The perioperative outcomes during the RARP learning period using both hinotori and da Vinci were not significantly different from those using only da Vinci; although the H&D group surgeons in training were relatively younger, they had slightly more practice as RARP assistants at a more experienced institution.

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CiteScore
2.00
自引率
10.00%
发文量
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