达芬奇单孔机器人用于经口机器人手术的一年期疗效
One-year outcomes for da Vinci single port robot for transoral robotic surgery.
作者信息
Van Abel Kathryn M, Yin Linda X, Price Daniel L, Janus Jeffery R, Kasperbauer Jan L, Moore Eric J
机构信息
Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Rochester, Minnesota, USA.
出版信息
Head Neck. 2020 Aug;42(8):2077-2087. doi: 10.1002/hed.26143. Epub 2020 Mar 19.
BACKGROUND
The da Vinci single-port (SP) robot is a new instrument for transoral robotic surgery (TORS) in oropharyngeal cancers (OPSCCs). We describe one-year SP surgical outcomes and compare them to da Vinci Si outcomes.
METHODS
Retrospective cohort study at a high-volume TORS center. Consecutive patients undergoing TORS SP procedures from 10/2018 to 09/2019 were included. SP OPSCC outcomes were compared to a historical cohort of Si OPSCC patients. t tests were used to compare continuous variables; χ or Wilcoxon rank-sum tests were used to compare nonparametric categorical variables.
RESULTS
Seventy-eight patients underwent SP TORS. The bleed rate was 5.1%, mortality rate was 2.6%, and conversion rate was 0%. Compared to the Si cohort, OPSCC patients undergoing TORS SP procedures saw no significant differences in operative time or post-TORS bleeds (P > .05).
CONCLUSIONS
The SP is a comparably safe surgical instrument. Overall learning curve for the SP was rapid among experienced TORS surgeons.
背景
达芬奇单孔（SP）机器人是用于口咽癌（OPSCC）经口机器人手术（TORS）的一种新型器械。我们描述了单孔手术的一年期结果，并将其与达芬奇Si系统的手术结果进行比较。
方法
在一个开展大量TORS手术的中心进行回顾性队列研究。纳入2018年10月至2019年9月期间连续接受TORS单孔手术的患者。将单孔OPSCC手术结果与Si系统OPSCC患者的历史队列进行比较。采用t检验比较连续变量；采用χ²检验或Wilcoxon秩和检验比较非参数分类变量。
结果
78例患者接受了单孔TORS手术。出血率为5.1%，死亡率为2.
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