Law Jeffrey, Rowe Neal, Archambault Jason, Nastis Sofia, Sener Alp, Luke Patrick P
Western University Schulich School of Medicine and Dentistry;
Department of Surgery, Division of Urology, University of Ottawa, Ottawa, ON, Canada;
Can Urol Assoc J. 2016 Mar-Apr;10(3-4):83-8. doi: 10.5489/cuaj.3440.
We compared the outcomes of single-incision, robot-assisted laparoscopic pyeloplasty vs. multiple-incision pyeloplasty using the da Vinci robotic system.
We reviewed all consecutive robotic pyeloplasties by a single surgeon from January 2011 to August 2015. A total of 30 procedures were performed (16 single:14 multi-port). Two different single-port devices were compared: the GelPort (Applied Medical, Rancho Santa Margarita, CA) and the Intuitive single-site access port (Intuitive Surgical, Sunnyvale, CA).
Patient demographics were similar between the two groups. Mean operating time was similar among the single and multi-port groups (225.2 min vs. 198.9 minutes [p=0.33]). There was no significant difference in length of hospital stay in either group (86.2 hr vs. 93.2 hr [p=0.76]). There was no difference in success rates or postoperative complications among groups.
Single-port robotic pyeloplasty is non-inferior to multiple-incision robotic surgery in terms of operative times, hospitalization time, success rates, and complications. Verifying these results with larger cohorts is required prior to the wide adoption of this technique. Ongoing objective measurements of cosmesis and patient satisfaction are being evaluated.
我们比较了使用达芬奇机器人系统进行单切口机器人辅助腹腔镜肾盂成形术与多切口肾盂成形术的结果。
我们回顾了一位外科医生在2011年1月至2015年8月期间连续进行的所有机器人肾盂成形术。共进行了30例手术（16例单切口：14例多端口）。比较了两种不同的单端口设备：GelPort（应用医疗公司，加利福尼亚州兰乔圣玛格丽塔）和直观单部位接入端口（直观外科手术公司，加利福尼亚州森尼韦尔）。
两组患者的人口统计学特征相似。单端口组和多端口组的平均手术时间相似（225.2分钟对198.9分钟[p = 0.33]）。两组的住院时间均无显著差异（86.2小时对93.2小时[p = 0.76]）。各组之间的成功率或术后并发症无差异。
在手术时间、住院时间、成功率和并发症方面，单端口机器人肾盂成形术不劣于多切口机器人手术。在广泛采用这项技术之前，需要用更大的队列验证这些结果。目前正在评估美容效果和患者满意度的客观测量结果。
