Harrison Robert, Ahmed Mutahar, Billah Mubashir, Caviasco Christina, Cheng Nathan, Sanders Angeline, Lovallo Gregory, Stifelman Michael
Department of Urology, Hackensack University Medical Center, Hackensack, NJ.
Department of Urology, Hackensack University Medical Center, Hackensack, NJ; Hackensack Meridian School of Medicine, Hackensack, NJ.
Urology. 2022 Feb;160:124-129. doi: 10.1016/j.urology.2021.09.038. Epub 2021 Nov 21.
To compare the perioperative and postoperative outcomes of single port (SP) robotic pyeloplasty and multiport (MP) robotic pyeloplasty using a propensity-score matched analysis.
We performed a chart review of all patients who underwent SP robotic pyeloplasty from January 2019 to October 2020 and MP robotic pyeloplasty from January 2016 to October 2020. Patient demographics, intraoperative data, and postoperative outcomes were collected and analyzed. Propensity-score matching was performed on sex, body mass index, and history of previous pyeloplasty to adjust for potential baseline confounders. A post hoc sensitivity analysis for operative time was performed to examine the robustness of the results.
In total, 24 and 41 patients underwent sSP and MP robotic pyeloplasty, respectively. Following propensity-score matching, 21 MP cases were matched 1:1 to SP cases. The SP group was shown to have longer median operative times (128.0 vs 88.0 minutes, P = .0411) and shorter follow up time (9.3 vs 18.7 months, P = .0066). In a sensitivity analysis, SP robotic pyeloplasty was marginally associated with increased operative time (95% CI -0.25, 29.72, P = .0540).
SP robotic pyeloplasty is a safe and acceptable alternative to MP robotic pyeloplasty, achieving comparable perioperative and postoperative outcomes.
采用倾向评分匹配分析比较单孔（SP）机器人肾盂成形术和多孔（MP）机器人肾盂成形术的围手术期和术后结果。
我们对2019年1月至2020年10月接受SP机器人肾盂成形术以及2016年1月至2020年10月接受MP机器人肾盂成形术的所有患者进行了病历回顾。收集并分析患者的人口统计学资料、术中数据和术后结果。对性别、体重指数和既往肾盂成形术史进行倾向评分匹配，以调整潜在的基线混杂因素。对手术时间进行事后敏感性分析，以检验结果的稳健性。
分别有24例和41例患者接受了SP和MP机器人肾盂成形术。倾向评分匹配后，21例MP病例与SP病例1:1匹配。结果显示，SP组的中位手术时间更长（128.0分钟对88.0分钟，P = 0.0411），随访时间更短（9.3个月对18.7个月，P = 0.0066）。在敏感性分析中，SP机器人肾盂成形术与手术时间增加略有相关（95%CI -0.25，29.72，P = 0.0540）。
SP机器人肾盂成形术是MP机器人肾盂成形术一种安全且可接受的替代方法，围手术期和术后结果相当。
