在机器人直肠癌手术中，达芬奇Xi系统比达芬奇Si系统更好吗？两代达芬奇系统的比较。
Is da Vinci Xi Better than da Vinci Si in Robotic Rectal Cancer Surgery? Comparison of the 2 Generations of da Vinci Systems.
作者信息
Ozben Volkan, Cengiz Turgut B, Atasoy Deniz, Bayraktar Onur, Aghayeva Afag, Erguner Ilknur, Baca Bilgi, Hamzaoglu Ismail, Karahasanoglu Tayfun
机构信息
*Department of General Surgery, Atakent Hospital †Medical Faculty ‡Department of General Surgery, Maslak Hospital, Acibadem University, Istanbul, Turkey.
出版信息
Surg Laparosc Endosc Percutan Tech. 2016 Oct;26(5):417-423. doi: 10.1097/SLE.0000000000000320.
BACKGROUND
We aimed to compare perioperative outcomes for procedures using the latest generation of da Vinci robot versus its previous version in rectal cancer surgery.
PATIENTS AND METHODS
Fifty-three patients undergoing robotic rectal cancer surgery between January 2010 and March 2015 were included. Patients were classified into 2 groups (Xi, n=28 vs. Si, n=25) and perioperative outcomes were analyzed.
RESULTS
The groups had significant differences including operative procedure, hybrid technique and redocking (P>0.05). In univariate analysis, the Xi group had shorter console times (265.7 vs. 317.1 min, P=0.006) and total operative times (321.6 vs. 360.4 min, P=0.04) and higher number of lymph nodes harvested (27.5 vs. 17.0, P=0.008). In multivariate analysis, Xi robot was associated with a shorter console time (odds ratio: 0.09, P=0.004) with no significant differences regarding other outcomes.
CONCLUSIONS
Both generations of da Vinci robot led to similar short-term outcomes in rectal cancer surgery, but the Xi robot allowed shorter console times.
背景
我们旨在比较直肠癌手术中使用最新一代达芬奇机器人及其旧版本进行手术的围手术期结果。
患者与方法
纳入2010年1月至2015年3月期间接受机器人直肠癌手术的53例患者。将患者分为两组（Xi组，n = 28 vs. Si组，n = 25），并分析围手术期结果。
结果
两组在手术操作、混合技术和重新对接方面存在显著差异（P>0.05）。单因素分析中，Xi组的控制台时间较短（265.7对317.1分钟，P = 0.006）、总手术时间较短（321.6对360.4分钟，P = 0.04）且获取的淋巴结数量较多（27.5对17.0，P = 0.008）。多因素分析中，Xi机器人与较短的控制台时间相关（比值比：0.09，P = 0.004），其他结果无显著差异。
结论
两代达芬奇机器人在直肠癌手术中导致相似的短期结果，但Xi机器人的控制台时间较短。
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