Early feasibility surveillance of gynecologic robotic‐assisted surgeries in Japan
Early feasibility surveillance of gynecologic robotic‐assisted surgeries in Japan
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日本妇科机器人辅助手术的早期可行性监测
DOI：
10.1111/jog.13923
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发表时间：
2019
影响因子：
1.6
通讯作者：
Fujii Tomoyuki
中科院分区：
文献类型：
--
作者：
Baba Tsukasa;Mandai Masaki;Nishi Hirotaka;Nishii Osamu;Kitawaki Jo;Sawada Morio;Isaka Keiichi;Fujii Tomoyuki
AimTo evaluate the clinical relevance of robot ‐assisted surgery（RAS）for gynecologic malignancies in a Japanese multi‐institutional coherents.MethodsA retrospective review of围手术期结果的357妇科RAS程序进行了回顾性审查，在24家医院认可的执行RAS由日本妇产科学会（JSOG）在4年的时间内，2014年1月至2017年12月。结果分别有3家、8家和13家医院入组了超过25例（高）、10-24例（中）和不到10例（低）。共有247例患者因恶性适应症接受RAS。200例患者行根治性子宫切除术（RH），47例患者行主动脉帕拉淋巴结切除术（PAN）。RAS联合RH或PAN在高容量中心更可行，手术时间显著短于中等容量中心，失血量更少。在高容量中心，RAS合并PAN的围手术期损伤和并发症的总发生率达到33.3%，与中等容量中心（35.5%）几乎相同，但远高于RAS不合并PAN（8.5%）。这是强制性的RAS进行医院有谨慎的态度，以实现他们的学习曲线在进行先进的程序。
AimTo evaluate the clinical relevance of robotic‐assisted surgeries (RAS) for gynecologic malignancies in a Japanese multi‐institutional cohort.MethodsA retrospective review of perioperative outcomes of 357 gynecologic RAS procedures was conducted in 24 hospitals accredited to perform RAS by the Japanese Society of Obstetrics and Gynecology (JSOG) over a 4‐year period, January 2014 to December 2017.ResultsMore than 25 (high), 10–24 (middle) and less than 10 cases (low) were enrolled from 3, 8 and 13 hospitals, respectively. A total of 247 patients underwent RAS for malignant indications. Radical hysterectomy (RH) was conducted for 200 patients, while para‐aortic node excision (PAN) for 47 patients. RAS with RH or PAN was more feasible in high‐volume centers with significantly shorter operation time and lesser blood loss than that in middle‐volume centers. The total rate of perioperative injury and complications in RAS with PAN reached 33.3% in high‐volume centers, which was almost equal to those in middle‐volume centers (35.5%) but much higher than RAS without PAN (8.5%).ConclusionPerioperative surveillance demonstrated high feasibility of gynecologic RAS procedures conducted in JSOG accredited hospitals for these 4 years. It is mandatory for RAS conducting hospitals to have careful attitudes to realize their learning curves in conducting advanced procedures.
机器人辅助妇科手术
DOI：
10.1111/j.1479-828x.2009.00950.x
发表时间：
2009
影响因子：
1.7
作者：
M. Oehler
通讯作者：
M. Oehler