Department of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, 330000, Jiangxi, China.
BMC Surg. 2021 Nov 30;21(1):409. doi: 10.1186/s12893-021-01406-w.
To compare the perioperative and short-term efficacy and cost of the da Vinci Xi and da Vinci Si surgical systems for radical prostatectomy.
We retrospectively analyzed the clinical data of 175 patients with prostate cancer who underwent radical prostatectomy with the da Vinci Si or Xi surgical systems in our hospital from June 2019 to June 2020. Of the 175 patients, 82 underwent robot-assisted laparoscopic radical prostatectomy with the da Vinci Xi surgery system, and 93 patients underwent robot-assisted laparoscopic radical prostatectomy with the da Vinci Si surgical system. The perioperative outcomes, short-term efficacy and costs were compared between the two groups.
The anesthesia time, operation time, docking time, indwelling catheter time and postoperative bed rest time in the Xi group were shorter than those in the Si group (respectively, 268.8 min vs. 219.3 min, P = 0.001; 228.2 min vs. 259.6 min, P < 0.001; 7.4 min vs. 12.7 min, P < 0.001; 8.6 d vs. 9.7 d, P = 0.036; 2.2 d vs. 2.6 d, P = 0.002). However, the total cost of hospitalization and the cost of intraoperative consumables in the Xi group were higher than those in the Si group (84,740.7 vs. 76,739.1 ¥, P = 0.003; 13,199.4 vs. 10,823.0 ¥, P = 0.019).
Although the cost of robot-assisted radical prostatectomy is higher, compared with the Si system, the Xi system has better perioperative outcomes and can provide similar short-term efficacy and oncology outcomes.
比较达芬奇 Xi 系统和达芬奇 Si 系统行根治性前列腺切除术的围手术期和短期疗效及成本。
回顾性分析 2019 年 6 月至 2020 年 6 月我院 175 例行达芬奇 Si 或 Xi 系统机器人辅助腹腔镜根治性前列腺切除术患者的临床资料，其中 82 例行达芬奇 Xi 手术系统机器人辅助腹腔镜根治性前列腺切除术，93 例行达芬奇 Si 手术系统机器人辅助腹腔镜根治性前列腺切除术。比较两组患者的围手术期指标、短期疗效和成本。
Xi 组患者的麻醉时间、手术时间、对接时间、留置导尿管时间和术后卧床时间均短于 Si 组（分别为 268.8 min 比 219.3 min，P=0.001；228.2 min 比 259.6 min，P<0.001；7.4 min 比 12.7 min，P<0.001；8.6 d 比 9.7 d，P=0.036；2.2 d 比 2.6 d，P=0.002）。然而，Xi 组患者的总住院费用和术中耗材费用均高于 Si 组（84740.7 比 76739.1 元，P=0.003；13199.4 比 10823.0 元，P=0.019）。
虽然达芬奇 Xi 系统的手术费用较高，但与 Si 系统相比，Xi 系统具有更好的围手术期效果，且能提供相似的短期疗效和肿瘤学结局。
