Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Department of Urology, Tokushima Prefectural Central Hospital, Tokushima, Japan.
Int J Med Robot. 2023 Aug;19(4):e2513. doi: 10.1002/rcs.2513. Epub 2023 Mar 2.
Ureteral stent placement in robot-assisted intracorporeal ileal conduit formation (RICIC) is more challenging than extracorporeal urinary diversion. We developed a novel dedicated device called the Assistent guide for safe and smooth performance of ureteral stent placement by the patient-side surgeon (PSS).
This study reviewed the clinical records of 59 patients underwent RICIC with a total of 110 ureteral stent placements: 59 stents were placed using the Assistent guide, and 51 stents were placed using a suction tip.
The stenting time was significantly shorter in the Assistent guide group than in the suction tip group. Even for beginners, the stenting time was significantly shorter. The PSSs' satisfaction score was significantly higher in the Assistent guide group. No complications associated with ureteral stent placement occurred.
We showed the safety and efficacy of the Assistent guide for ureteral stent placement in RICIC.
与体外尿流改道相比，机器人辅助腔内回肠通道形成（RICIC）中的输尿管支架放置更具挑战性。我们开发了一种名为 Assistent 的新型专用设备，可让术者在患者侧（PSS）安全、顺利地进行输尿管支架放置。
本研究回顾了 59 例接受 RICIC 并总共进行了 110 例输尿管支架放置的患者的临床记录：59 例使用 Assistent 导引导管进行放置，51 例使用吸引器尖端进行放置。
与使用吸引器尖端相比，Assistent 导引导管组的置管时间明显更短。即使对于初学者，置管时间也明显更短。Assistent 导引导管组的 PSS 满意度评分明显更高。没有与输尿管支架放置相关的并发症发生。
我们展示了 Assistent 导引导管在 RICIC 中用于输尿管支架放置的安全性和有效性。
