达芬奇 Xi 或 X 机器人辅助腹腔镜子宫切除术中单助手与双助手机器人手术比较。
Single assistant versus dual assistant robotic surgery for robot-assisted laparoscopic hysterectomy using da Vinci Xi or X.
机构信息
Department of Obstetrics and Gynecology, Tokyo Medical University Hospital, Tokyo, Japan.
Robotic Surgery Center, Tokyo International Ohori Hospital, Tokyo, Japan.
出版信息
Int J Med Robot. 2021 Dec;17(6):e2315. doi: 10.1002/rcs.2315. Epub 2021 Aug 2.
BACKGROUND
To verify the usefulness of single assistant robotic surgery (SA-RS) using da Vinci Xi or X performed for total hysterectomy.
METHODS
The SA-RS group (S-group) includes surgeries in which the surgeon performed all surgical operations other than that of the uterine manipulator, while the dual assistant robotic surgery group (D-group) includes surgeries performed by the surgeon with two assistants. In S-group, the forceps and camera were replaced during surgery in cases of a large uterus with limited range of motion of the instrument. A comparative study of patient background, intraoperative and postoperative results and surgery-related cost was performed between the two groups.
RESULTS
No significant differences were observed between the two groups. On the contrary, S-group showed a significant reduction in preparation time and wound closure time, and a savings of $768.
CONCLUSION
SA-RS for total hysterectomy was possible, which is excellent in terms of cost, esthetics, and manpower.
背景
为了验证达芬奇 Xi 或 X 单助手机器人手术（SA-RS）在全子宫切除术方面的有效性。
方法
SA-RS 组（S 组）包括手术中除子宫操纵器外所有手术操作均由外科医生完成的手术，而双助手机器人手术组（D 组）则包括由外科医生和两名助手共同完成的手术。在 S 组中，如果子宫较大且器械活动范围有限，则在手术中更换钳子和摄像头。对两组患者的背景、术中及术后结果和手术相关费用进行了比较研究。
结果
两组之间无显著差异。相反，S 组在准备时间和伤口闭合时间上有显著减少，节省了 768 美元。
结论
SA-RS 用于全子宫切除术是可行的，在成本、美观和人力方面都非常出色。
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