Early Single-Center Experience with Robotic Partial Nephrectomy Using the da Vinci Xi: Comparative Assessment with Conventional Open Partial Nephrectomy
Early Single-Center Experience with Robotic Partial Nephrectomy Using the da Vinci Xi: Comparative Assessment with Conventional Open Partial Nephrectomy
复制标题
使用达芬奇 Xi 进行机器人肾部分切除术的早期单中心经验：与传统开放性肾部分切除术的比较评估
DOI：
10.1159/000499300
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发表时间：
2019
期刊：
影响因子：
1.6
通讯作者：
Miyake Hideaki
中科院分区：
文献类型：
--
作者：
Motoyama Daisuke;Aki Ryota;Matsushita Yuto;Tamura Keita;Ito Toshiki;Sugiyama Takayuki;Otsuka Atsushi;Miyake Hideaki
背景：本研究的目的是评估我们在机器人辅助肾部分切除术 (RAPN) 方面的经验，并与传统的开放性肾部分切除术 (OPN) 进行比较。 患者和方法：本研究分别包括 37 名和 50 名因小肾肿块接受 OPN 和 RAPN 的患者。一名外科医生使用 da Vinci Xi 对所有 50 例病例进行了 RAPN。 Trifecta被定义为满足以下3个标准：缺血时间≤25分钟、手术切缘阴性、无重大术后并发症。结果：通过1:1倾向评分匹配调整患者变量后，每组纳入37例患者，两组间主要临床病理特征无显着差异。 RAPN 在手术时间、估计失血量和术后住院时间方面明显优于 OPN。 RAPN 组的三连胜成功率显着高于 OPN 组（91.9% vs. 62.2%）。此外，手术过程和 R.E.N.A.L.通过对整个队列的多变量分析，发现肾测量评分与三连胜结果独立相关。结论：尽管这是我们对 50 个初始病例的早期经验，但使用 da Vinci Xi 的 RAPN 比 OPN 产生了更有利的围手术期结果。
Background:The objective of this study was to evaluate our experience with robot-assisted partial nephrectomy (RAPN) in comparison with conventional open partial nephrectomy (OPN).Patients and Methods:This study included 37 and 50 patients undergoing OPN and RAPN for small renal masses, respectively. A single surgeon performed RAPN for all 50 cases using the da Vinci Xi. Trifecta was defined as satisfying all of the following 3 criteria: ischemic time of ≤ 25 minutes, negative surgical margin and no major postoperative complications.Results:After adjusting patient variables by 1:1 propensity-score matching, 37 patients were included in each group, and no significant differences in major clinicopathological characteristics were noted between these 2 groups. RAPN was significantly superior to OPN with respect to operative time, estimated blood loss and postoperative length of hospital stay. The rate of trifecta achievement was significantly higher in the RAPN group than in the OPN group (91.9 vs. 62.2%). Furthermore, the operative procedure and R.E.N.A.L. nephrometry score were found to be independently associated with trifecta outcome by multivariate analysis of the entire cohort.Conclusions:Although this is our early experience with 50 initial cases, RAPN using the da Vinci Xi resulted in more favorable perioperative outcomes than OPN.
使用 Da Vinci Xi 进行机器人肾部分切除术
影响因子：
1.4
作者：
G. Kallingal;S. Swain;Fadi Darwiche;S. Punnen;M. Manoharan;M. Gonzalgo;D. Parekh
通讯作者：
D. Parekh
腹腔镜摘除术和机器人手术治疗肾细胞癌的技术、结果和不断发展的作用。
影响因子：
1.9
作者：
Y. Tanagho;R. Figenshau;S. Bhayani
通讯作者：
S. Bhayani