Pakkasjärvi Niklas, Taskinen Seppo
Department of Pediatric Surgery, New Children's Hospital, Helsinki University Hospital, Stenbäckinkatu 9, 00029 HUS Helsinki, Finland.
Clin Pract. 2021 Mar 1;11(1):143-150. doi: 10.3390/clinpract11010020.
(1) Background: This study investigated the introduction of pediatric robot-assisted pyeloplasty in a low-volume centre with reference to open pyeloplasty with regards to operative times, length of stay (LOS) and outcomes and cost analysis. (2) Methods: Data from 10 consecutive robot-assisted pyeloplasties was compared retrospectively to an age and weight matched cohort of open pyeloplasties operated on during two previous years. Operative times were analyzed in conjunction with LOS, outcomes and cost-analysis from patient records. (3) Results: Operative times remain longer in robot-assisted pyeloplasties (168 (IQR 68) vs. 141 (IQR 51) min), but patients are discharged from the hospital earlier and may return to daily activities earlier. In our hospital, the difference in LOS levels to some degree the cost difference between operations. (4) Conclusions: Robot-assisted pyeloplasty can be safely and economically introduced and maintained in a low-volume centre.
(1) 背景：本研究在一个手术量较少的中心探讨了小儿机器人辅助肾盂成形术，并与开放性肾盂成形术在手术时间、住院时间（LOS）、手术效果及成本分析方面进行了对比。(2) 方法：对连续10例机器人辅助肾盂成形术的数据进行回顾性分析，并与前两年进行的年龄和体重匹配的开放性肾盂成形术队列进行比较。结合患者记录中的住院时间、手术效果及成本分析对手术时间进行分析。(3) 结果：机器人辅助肾盂成形术的手术时间仍然较长（168（四分位间距68）分钟 vs. 141（四分位间距51）分钟），但患者出院更早，且可能更早恢复日常活动。在我院，住院时间的差异在一定程度上平衡了手术之间成本的差异。(4) 结论：机器人辅助肾盂成形术可在手术量较少的中心安全且经济地开展并持续应用。
