期刊
JOURNAL OF ROBOTIC SURGERY
卷 17, 期 4, 页码 1341-1347出版社
SPRINGERNATURE
DOI: 10.1007/s11701-023-01563-5
关键词
Radical prostatectomy; da Vinci SP; Single Port; SP radical prostatectomy; robotic surgery
类别
The new SP robot minimizes the number of incisions needed by incorporating a single trocar with a flexible camera and three bi-articulated arms, resulting in a less invasive procedure. A comparison study between patients undergoing robotic-assisted radical prostatectomy (RARP) with the SP robot and the Xi robot showed that the SP group had less blood loss and longer operative time. However, there were no significant differences in postoperative pain scores between the two groups at 6, 12, and 18 hours after surgery.
The new SP robot incorporates a single trocar that houses a flexible camera and three bi-articulated arms, which minimize the number of incisions needed to assess the surgical site, allowing for a less invasive procedure. To compare the postoperative pain scale and outcomes in patients with similar demographic characteristics undergoing robotic-assisted radical prostatectomy (RARP) with SP and Xi robots, One-hundred consecutive patients undergoing RARP with the SP robot were matched, using a propensity score (PS), with 100 patients from a cohort of 1757 who were operated on with the da Vinci Xi from June 2019 to January 2021. We described and compared the perioperative pain scores and outcomes of both groups. The SP group had less blood loss (50 cc vs. 62.5 cc, P < 0.001) and longer operative time (114 min. vs. 94 min, P < 0.001). The only period we could show a difference in postoperative pain scores was 6 h after surgery, with a small advantage for the SP (2 vs. 2.5, P < 0.001). Both groups had satisfactory postoperative continence recovery, 91% vs. 90% for the SP and Xi, respectively. The groups had a mean follow-up of 24.5 and 22 months for SP and Xi, respectively. The tumor stage and percentage of positive surgical margins were similar between groups (15% vs. 15%, P = 1). Patients undergoing RARP with the SP had longer operative times with less blood loss than the Xi. However, despite the lower number of abdominal incisions on the SP, the groups had similar intraoperative performance, and we were unable to demonstrate clinically significant differences in postoperative pain scores between the groups 6, 12, and 18 h after surgery.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据