机器人辅助手术在婴幼儿肾脏疾病中的应用:回顾性队列分析。

IF 1.1 4区 医学 Q3 SURGERY
Chao Yang, Chi Zhang, Jialin Liu, Changkun Mao
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引用次数: 0

摘要

目的:虽然机器人辅助手术(RAS)在泌尿外科中显示出益处,但其在婴幼儿中的应用仍然相对有限。本研究旨在评估机器人手术治疗该年龄组肾脏疾病的安全性和可行性。方法:回顾性分析我院2021年12月至2023年9月期间接受机器人和腹腔镜手术(LSs)治疗肾脏疾病的122例3岁以下患者的临床资料。分析包括人口统计信息、手术技术和术后并发症。结果:纳入122例患者,年龄2.2 ~ 35.8个月。其中66例患者行RAS (RAS组),56例患者行腹腔镜手术(LS组)。对于输尿管肾盂连接处梗阻(UPJO), RAS组手术时间短,出血量少(P < 0.001)。对于行肾切除术和输尿管切除术的肾发育不良患者,RAS组和LS组在手术时间、术中出血量和住院时间方面无显著差异(P < 0.05)。在双肾患者中,RAS在手术时间(P = .001)、出血量(P = .019)和住院时间(P < .001)方面也有优势。RAS组住院费用较高(P < 0.001),并发症发生率差异无统计学意义(P < 0.05)。结论:RAS虽然成本高于LS,但在婴幼儿肾脏疾病的治疗中仍是安全可行的。值得注意的是,RAS在治疗UPJO和完全双肾方面显示出显著的优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Application of Robotic-Assisted Surgery in Renal Disorders of Infants and Toddlers: A Retrospective Cohort Analysis.

Objective: While robotic-assisted surgery (RAS) has shown benefits in urology, its use in infants and toddlers remains relatively restricted. This study aims to evaluate the safety and feasibility of robotic surgery for renal disorders in this age group. Methods: A retrospective analysis was performed on the clinical data of 122 patients under the age of 3 who underwent robotic and laparoscopic surgeries (LSs) for renal disorders at our institution between December 2021 and September 2023. The analysis included demographic information, surgical techniques, and postoperative complications. Results: The study included 122 patients aged between 2.2 and 35.8 months. Of these, 66 patients underwent RAS (RAS group), whereas 56 patients underwent laparoscopic surgery (LS group). In cases of ureteropelvic junction obstruction (UPJO), RAS group showed shorter operative times and less blood loss than LS (P < .001). For the patients with renal dysplasia who underwent nephrectomy and ureterectomy, no significant differences were observed between the RAS and LS groups in terms of operative time, intraoperative blood loss, or hospital stay (P > .05). In patients with duplicated kidneys, RAS also demonstrated advantages in operative time (P = .001), blood loss (P = .019), and hospital stays (P < .001). However, RAS group incurred higher hospital costs (P < .001), with no significant difference in complication rates (P > .05). Conclusion: Although RAS incurs higher costs compared with LS, it remains both safe and feasible for the treatment of renal disorders in infants and toddlers. Notably, RAS shows significant advantages in managing UPJO and complete duplicated kidneys.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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