Robotic laparoscopic surgery:: A comparison of the da Vinci and Zeus Systems
Robotic laparoscopic surgery:: A comparison of the da Vinci and Zeus Systems
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DOI：
10.1016/s0090-4295(01)01423-6
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发表时间：
2001-12-01
期刊：
影响因子：
2.1
通讯作者：
Gill, IS
中科院分区：
文献类型：
--
作者：
Sung, GT;Gill, IS
目标。评价两种目前可用的机器人手术系统在急性猪模型上实施各种泌尿外科腹腔镜手术的效果。对14头猪施行了机器人腹腔镜术。对Do Vinci机器人系统和Zeus机器人系统的数据进行了比较。在腹腔镜肾切除术中，与Zeus系统(n=5)相比，Do-Vinci系统(n=6)的总手术室时间(51.3分钟比71.6分钟；P=0.02)和实际手术时间(42.1分钟比61.4分钟(P=0.03)明显缩短。然而，两组的出血量和手术解剖的充分性是相似的。在腹腔镜肾上腺切除术中，Do Vinci系统(n=5)的实际手术时间(12.2min比26.0min；P=0.006)短于Zeus系统(n=5)。在腹腔镜肾盂成形术中，Do-Vinci系统的总手术室时间(61.4分钟比83.4分钟；P=0.10)和吻合口时间(44.7分钟比66.4分钟；P=0.11)更短。输尿管成形术中，Do Vinci系统(n=6)和Zeus系统(n=6)平均每条输尿管缝合口数分别为13.0和10.8条。并发症包括在基于Do Vinci系统的左肾上腺切除术和基于Zeus系统的右肾上腺切除术中各有一次肾上腺实质撕裂。1例在基于Zeus系统的右肾上腺切除术中发生下腔静脉撕裂，经远端缝合修复。使用Do Vinci或Zeus系统都可以有效地执行机器人腹腔镜手术。在这项有限的研究中，学习曲线和手术时间较短，使用Do Vinci系统时，术中技术动作看起来更直观。额外的临床经验是必要的。泌尿外科58：893-898,2001。(C)2001年，爱思唯尔科学公司。
Objectives. To evaluate two currently available robotic surgical systems in performing various urologic laparoscopic procedures in an acute porcine model.Methods. Robotic laparoscopic surgery was performed in 14 swine. Data were compared between the do Vinci Robotic System and the Zeus Robotic System.Results. During laparoscopic nephrectomy, the do Vinci System (n = 6) had a significantly shorter total operating room time (51.3 versus 71.6 minutes; P = 0.02) and actual surgical time (42.1 versus 61.4 minutes; P = 0.03) compared with the Zeus System (n = 5). However, the blood loss and adequacy of surgical dissection were comparable between the two groups. For laparoscopic adrenalectomy, the do Vinci System (n = 5) had a shorter actual surgical time (12.2 versus 26.0 minutes; P = 0.006) than did the Zeus System (n = 5). For laparoscopic pyeloplasty, the do Vinci System had a shorter total operating room time (61.4 versus 83.4 minutes; P = 0.10) and anastomotic time (44.7 versus 66.4 minutes; P = 0.11). During pyeloplasty anastomosis, the total number of suture bites per ureter was 13.0 for the do Vinci System (n = 6) and 10.8 for the Zeus System (n = 6). The complications included an adrenal parenchymal tear each during a do Vinci System-based left adrenalectomy and a Zeus System-based right adrenalectomy. An inferior vena caval tear during a Zeus System-based right adrenalectomy occurred in 1 case, which was suture-repaired telerobotically.Conclusions. Robotic laparoscopic procedures can be performed effectively using either the do Vinci or Zeus System. In this limited study, the learning curve and operative times were shorter and the intraoperative technical movements appeared inherently more intuitive with the do Vinci System. Additional clinical experience is necessary. UROLOGY 58: 893-898, 2001. (C) 2001, Elsevier Science Inc.