Robot assisted laparoscopic partial nephrectomy: Initial experience
Robot assisted laparoscopic partial nephrectomy: Initial experience
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DOI：
10.1016/s0022-5347(06)00499-x
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发表时间：
2006-07-01
影响因子：
6.6
通讯作者：
Stifelman, Michael D.
中科院分区：
文献类型：
--
作者：
Caruso, Robert P.;Phillips, Courtney K.;Stifelman, Michael D.
目的：腹腔镜技术的进步使腹腔镜部分肾切除术在技术上可行，但对经验丰富的腹腔镜医生来说仍然具有挑战性。我们假设机器人辅助腹腔镜部分肾切除术可能使该手术比标准腹腔镜方法更有效。材料与方法：在2002年5月至2004年1月期间，由2位外科医生（MS和ST）对10例平均年龄为58岁，平均肿瘤大小为2.0 cm的患者行机器人辅助腹腔镜肾部分切除术，另10例平均年龄为61岁，平均肿瘤大小为2.18 cm的患者行腹腔镜肾部分切除术。比较两组患者的人口学资料、术中参数及术后数据。结果：两组患者人口统计学差异无统计学意义。术中数据和术后结果在统计学上相似。在10例接受机器人辅助腹腔镜部分肾切除术的患者中，有2例术中并发症。腹腔镜部分肾切除术组有1例转换。结论：机器人辅助腹腔镜部分肾切除术是一种安全可行的治疗外生性小肿块的方法。机器人方法腹腔镜部分肾切除术不提供任何临床优势比传统腹腔镜肾切除术。
Purpose: Advances in laparoscopy have made laparoscopic partial nephrectomy a technically feasible procedure but it remains challenging to even experienced laparoscopists. We hypothesized that robotic assisted laparoscopic partial nephrectomy may make this procedure more efficacious than the standard laparoscopic approach.Materials and Methods: Ten patients with a mean age of 58 years and mean tumor size of 2.0 cm underwent robotic assisted laparoscopic partial nephrectomy and another 10 with a mean age of 61 years and mean tumor size of 2.18 cm underwent laparoscopic partial nephrectomy, as performed by a team of 2 surgeons (MS and ST) between May 2002 and January 2004. Demographic data, intraoperative parameters and postoperative data were compared between the 2 groups.Results: There were no significant differences in patient demographics between the 2 groups. Intraoperative data and postoperative outcomes were statistically similar. In the 10 patients who underwent robotic assisted laparoscopic partial nephrectomy there were 2 intraoperative complications. There was 1 conversion in the laparoscopic partial nephrectomy group.Conclusions: Robotic assisted laparoscopic partial nephrectomy is a safe and feasible procedure in patients with small exophytic masses. The robotic approach to laparoscopic partial nephrectomy does not offer any clinical advantage over conventional laparoscopic nephrectomy.