Robotic-assisted laparoscopic donor nephrectomy: decreasing length of stay.
Robotic-assisted laparoscopic donor nephrectomy: decreasing length of stay.
复制标题
机器人辅助腹腔镜供体肾切除术：减少住院时间。
作者：
A. Cohen;D. Williams;H. Bohorquez;D. Bruce;I. Carmody;T. Reichman;G. Loss
背景
在过去十年中，使用达芬奇手术系统进行的机器人手术数量有所增加。该系统比手动腹腔镜手术具有更大的可操作性和控制性，从而减少组织操作和刺激。
方法
我们回顾性分析了 100 例连续机器人辅助腹腔镜供体肾切除术的结果，并将其与我们最近的 20 例手动辅助腹腔镜供体肾切除术进行了比较。
结果
2008 年 5 月至 2012 年 6 月期间，Ochsner 诊所基金会进行了 120 例腹腔镜供体肾切除术。其中，100 名活体肾脏捐献者接受了机器人辅助腹腔镜捐献肾切除术。在前 20 名患者接受机器人辅助腹腔镜肾切除术后，手术时间和住院时间有所改善，这被认为是学习曲线。接受机器人辅助腹腔镜供体肾切除术的患者中有 60% 在术后第 1 天出院，而接受手动腹腔镜技术的患者只有 45% 出院。
结论
根据我们的经验，机器人辅助腹腔镜供体肾切除术缩短了术后住院时间，从而降低了手术的总体成本，并使我们的机构能够接纳更多患者。
BACKGROUND
The number of robotic operations performed with the da Vinci Surgical System has increased during the past decade. This system allows for greater maneuverability and control than hand-assisted laparoscopic procedures, resulting in less tissue manipulation and irritation.
METHODS
We retrospectively analyzed the results of 100 consecutive robotic-assisted laparoscopic donor nephrectomies and compared them to our most recent 20 hand-assisted laparoscopic donor nephrectomies.
RESULTS
Between May 2008 and June 2012, 120 laparoscopic donor nephrectomies were performed at Ochsner Clinic Foundation. Of those, 100 live kidney donors underwent robotic-assisted laparoscopic donor nephrectomies. Surgical time and hospital length of stay improved after the first 20 patients receiving robotic-assisted laparoscopic nephrectomies, which was considered the learning curve. Sixty percent of patients who underwent robotic-assisted laparoscopic donor nephrectomies were released on postoperative day 1 compared to 45% of patients who underwent hand-assisted laparoscopic techniques.
CONCLUSION
In our experience, robotic-assisted laparoscopic donor nephrectomy resulted in decreased postoperative length of stay that decreased the global cost of the procedure and allowed our institution to admit more patients.