Corsi Paolo, Daniele D'Agostino Daniele, Giampaoli Marco, Bianchi Federico Mineo, Romagnoli Daniele, Crivellaro Simone, Saraceni Giacomo, Garofalo Marco, Schiavina Riccardo, Brunocilla Eugenio, Artibani Walter, Porreca Angelo
Department of Robotic Urological Surgery, Abano Terme Hospital, Abano Terme (PD), Italy.
Department of Urology, University of Bologna Bologna, Italy.
Surg Technol Int. 2019 May 15;34:296-301.
To compare the perioperative and short-term outcomes of robotic pyelolithotomy (RP) and laparoscopic pyelolithotomy (LP) for the treatment of renal stones.
We retrospectively evaluated 39 patients who underwent robotic or laparoscopic pyelolithotomy from January 2015 to December 2018.
The preoperative characteristics of the two groups were comparable. The mean operative time was 173 ± 51 and 182 ± 62 min in the RP and LP groups, respectively (p=0.6). Blood loss and length of hospital stay with the robotic approach were lower than those with the laparoscopic approach (210 ± 180 ml vs. 639 ± 412 ml, p<0.001, and 3.8 ± 3 days vs. 7.3 ± 2.8 days, p=0.001). A complete stone-free status was achieved in 17 (85%) patients in the RP group and 8 (42%) in the LP group (p=0.01). Post-operative complications with the two approaches were also similar.
In some selected cases, laparoscopic and robotic pyelolithotomy are alternative procedures for large, multiple and complex kidney stones. The robotic approach was associated with less intraoperative blood loss and fewer days of hospitalization compared to the laparoscopic method, and also gives a better stone-free rate.
比较机器人肾盂切开取石术（RP）和腹腔镜肾盂切开取石术（LP）治疗肾结石的围手术期及短期疗效。
我们回顾性评估了2015年1月至2018年12月期间接受机器人或腹腔镜肾盂切开取石术的39例患者。
两组患者术前特征具有可比性。RP组和LP组的平均手术时间分别为173±51分钟和182±62分钟（p = 0.6）。机器人手术方式的失血量和住院时间低于腹腔镜手术方式（210±180毫升对639±412毫升，p<0.001；3.8±3天对7.3±2.8天，p = 0.001）。RP组17例（85%）患者结石完全清除，LP组8例（42%）患者结石完全清除（p = 0.01）。两种手术方式的术后并发症也相似。
在某些特定病例中，腹腔镜和机器人肾盂切开取石术是治疗大的、多发的和复杂肾结石的替代手术方法。与腹腔镜手术相比，机器人手术方式术中失血量更少，住院天数更少，结石清除率也更高。
Zotero 插件