{"title":"机器人辅助远端胃切除术与腹腔镜胃切除术短期疗效比较","authors":"Qiancheng Wang, Shiyang Jin, Zeshen Wang, Pengcheng Sun, Yuming Ju, Guanyu Zhu, Kuan Wang","doi":"10.1177/10926429251383719","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Purpose:</i></b> This study aimed to assess the effectiveness, safety, and feasibility of a novel robotic surgical system-the KangDuo Surgical Robot-01 (KD-SR-01)-for treating clinical stage I-III distal gastric cancer (GC) by comparing it to conventional laparoscopic gastrectomy (LG). <b><i>Methods:</i></b> From September to December 2023, 15 patients with distal GC underwent gastrectomies using the KD-SR-01 (KD group). An additional 15 cases of LG performed by the same surgeon during the same period were selected as the control group (LG group). Preoperative, intraoperative, and postoperative data were analyzed and compared between the two groups. <b><i>Results:</i></b> Both groups achieved the same surgical success rate, with no conversions to open surgery. The KD group exhibited significantly less blood loss (30 [20-60] mL versus 50 [30-200] mL, <i>P</i> < .001) and reported a lighter workload (27.5 ± 3.0 versus 30.1 ± 2.6, <i>P</i> = .011) compared to the LG group. Although the operation time in the KD group was significantly longer (213.3 ± 30.1 minutes versus 166.0 ± 32.8 minutes, <i>P</i> < .001), it was not significantly different from the LG group when excluding the device docking time of KD-SR-01 (179.7 ± 24.5 minutes versus 166.0 ± 32.8 minutes, <i>P</i> = .207). There were no significant differences in postoperative hospital stay (7.7 ± 1.5 days versus 7.3 ± .8 days, <i>P</i> = .357) and complication rates (26.7% versus 40.0%, <i>P</i> = .700) between the two groups. <b><i>Conclusion:</i></b> The KD-SR-01 is safe and effective for treating distal GC and may be a viable alternative to conventional LG.</p>","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of Short-Term Outcomes of Robot-Assisted Distal Gastrectomy Using the KangDuo Surgical Robot-01 System and Laparoscopic Gastrectomy.\",\"authors\":\"Qiancheng Wang, Shiyang Jin, Zeshen Wang, Pengcheng Sun, Yuming Ju, Guanyu Zhu, Kuan Wang\",\"doi\":\"10.1177/10926429251383719\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b><i>Purpose:</i></b> This study aimed to assess the effectiveness, safety, and feasibility of a novel robotic surgical system-the KangDuo Surgical Robot-01 (KD-SR-01)-for treating clinical stage I-III distal gastric cancer (GC) by comparing it to conventional laparoscopic gastrectomy (LG). <b><i>Methods:</i></b> From September to December 2023, 15 patients with distal GC underwent gastrectomies using the KD-SR-01 (KD group). An additional 15 cases of LG performed by the same surgeon during the same period were selected as the control group (LG group). Preoperative, intraoperative, and postoperative data were analyzed and compared between the two groups. <b><i>Results:</i></b> Both groups achieved the same surgical success rate, with no conversions to open surgery. The KD group exhibited significantly less blood loss (30 [20-60] mL versus 50 [30-200] mL, <i>P</i> < .001) and reported a lighter workload (27.5 ± 3.0 versus 30.1 ± 2.6, <i>P</i> = .011) compared to the LG group. Although the operation time in the KD group was significantly longer (213.3 ± 30.1 minutes versus 166.0 ± 32.8 minutes, <i>P</i> < .001), it was not significantly different from the LG group when excluding the device docking time of KD-SR-01 (179.7 ± 24.5 minutes versus 166.0 ± 32.8 minutes, <i>P</i> = .207). There were no significant differences in postoperative hospital stay (7.7 ± 1.5 days versus 7.3 ± .8 days, <i>P</i> = .357) and complication rates (26.7% versus 40.0%, <i>P</i> = .700) between the two groups. <b><i>Conclusion:</i></b> The KD-SR-01 is safe and effective for treating distal GC and may be a viable alternative to conventional LG.</p>\",\"PeriodicalId\":50166,\"journal\":{\"name\":\"Journal of Laparoendoscopic & Advanced Surgical Techniques\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-09-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Laparoendoscopic & Advanced Surgical Techniques\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10926429251383719\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Laparoendoscopic & Advanced Surgical Techniques","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10926429251383719","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
摘要
目的:本研究旨在通过与传统腹腔镜胃切除术(LG)进行比较,评估新型机器人手术系统——康多手术机器人-01 (KD-SR-01)治疗临床I-III期远端胃癌(GC)的有效性、安全性和可行性。方法:2023年9月至12月,15例胃癌远端患者行KD- sr -01胃切除术(KD组)。另外选择同一医生同期行LG手术15例作为对照组(LG组)。对两组术前、术中、术后资料进行分析比较。结果:两组手术成功率相同,无中转开腹手术。与LG组相比,KD组的失血量明显减少(30 [20-60]mL vs 50 [30-200] mL, P < .001),工作量更轻(27.5±3.0 vs 30.1±2.6,P = .011)。虽然KD组的手术时间明显长于LG组(213.3±30.1 min比166.0±32.8 min, P < 0.001),但排除KD- sr -01的设备对接时间后,KD组与LG组的差异无统计学意义(179.7±24.5 min比166.0±32.8 min, P = 0.207)。术后住院时间(7.7±1.5天)和(7.3±)天无显著差异。8天,P = 0.357),两组并发症发生率(26.7% vs 40.0%, P = 0.700)。结论:KD-SR-01治疗远端GC安全有效,可作为常规LG的替代方法。
Comparison of Short-Term Outcomes of Robot-Assisted Distal Gastrectomy Using the KangDuo Surgical Robot-01 System and Laparoscopic Gastrectomy.
Purpose: This study aimed to assess the effectiveness, safety, and feasibility of a novel robotic surgical system-the KangDuo Surgical Robot-01 (KD-SR-01)-for treating clinical stage I-III distal gastric cancer (GC) by comparing it to conventional laparoscopic gastrectomy (LG). Methods: From September to December 2023, 15 patients with distal GC underwent gastrectomies using the KD-SR-01 (KD group). An additional 15 cases of LG performed by the same surgeon during the same period were selected as the control group (LG group). Preoperative, intraoperative, and postoperative data were analyzed and compared between the two groups. Results: Both groups achieved the same surgical success rate, with no conversions to open surgery. The KD group exhibited significantly less blood loss (30 [20-60] mL versus 50 [30-200] mL, P < .001) and reported a lighter workload (27.5 ± 3.0 versus 30.1 ± 2.6, P = .011) compared to the LG group. Although the operation time in the KD group was significantly longer (213.3 ± 30.1 minutes versus 166.0 ± 32.8 minutes, P < .001), it was not significantly different from the LG group when excluding the device docking time of KD-SR-01 (179.7 ± 24.5 minutes versus 166.0 ± 32.8 minutes, P = .207). There were no significant differences in postoperative hospital stay (7.7 ± 1.5 days versus 7.3 ± .8 days, P = .357) and complication rates (26.7% versus 40.0%, P = .700) between the two groups. Conclusion: The KD-SR-01 is safe and effective for treating distal GC and may be a viable alternative to conventional LG.
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.