机器人辅助与传统腹腔镜直肠固定术治疗直肠脱垂：成本与时间的比较研究
Robot-assisted vs. conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time.
作者信息
Heemskerk Jeroen, de Hoog Dominique E N M, van Gemert Wim G, Baeten Cor G M I, Greve Jan Willem M, Bouvy Nicole D
机构信息
Department of Surgery, Maastricht University Hospital, Maastricht, The Netherlands.
出版信息
Dis Colon Rectum. 2007 Nov;50(11):1825-30. doi: 10.1007/s10350-007-9017-2.
PURPOSE
Laparoscopic rectopexy has become one of the most advocated treatments for full-thickness rectal prolapse, offering good functional results compared with open surgery and resulting in less postoperative pain and faster convalescence. However, laparoscopic rectopexy can be technically demanding. Once having mastered dexterity, with robotic assistance, laparoscopic rectopexy can be performed faster. Moreover, it shortens the learning curve in simple laparoscopic tasks. This may lead to faster and safer laparoscopic surgery. Robot-assisted rectopexy has been proven safe and feasible; however, until now, no study has been performed comparing costs and time consumption in conventional laparoscopic rectopexy vs. robot-assisted rectopexy.
METHODS
Our first 14 cases of robot-assisted laparoscopic rectopexy were reviewed and compared with 19 patients who underwent conventional laparoscopic rectopexy in the same period.
RESULTS
Robot-assisted laparoscopic rectopexy did not show more complications. However, the average operating time was 39 minutes longer, and costs were euro 557.29 (or: dollars 745.09) higher.
CONCLUSION
Robot-assisted laparoscopic rectopexy is a safe and feasible procedure but results in increased time and higher costs than conventional laparoscopy.
目的
腹腔镜直肠固定术已成为全层直肠脱垂最常用的治疗方法之一，与开放手术相比，其功能效果良好，术后疼痛较轻，恢复较快。然而，腹腔镜直肠固定术在技术上要求较高。一旦掌握了操作技巧，在机器人辅助下，腹腔镜直肠固定术可以更快地完成。此外，它缩短了简单腹腔镜手术的学习曲线。这可能会使腹腔镜手术更快、更安全。机器人辅助直肠固定术已被证明是安全可行的；然而，到目前为止，尚未有研究比较传统腹腔镜直肠固定术与机器人辅助直肠固定术的成本和时间消耗。
方法
回顾了我们最初的14例机器人辅助腹腔镜直肠固定术病例，并与同期接受传统腹腔镜直肠固定术的19例患者进行了比较。
结果
机器人辅助腹腔镜直肠固定术并未显示出更多的并发症。然而，平均手术时间延长了39分钟，成本高出557.29欧元（或：745.09美元）。
结论
机器人辅助腹腔镜直肠固定术是一种安全可行的手术，但与传统腹腔镜手术相比，手术时间增加，成本更高。
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