Thillou Damien, Robin Humphrey, Ricolleau Coline, Benali Nadia Ali, Forgues Aurélien, Emeriau Damien, Mignot Hubert, Hugues Guillaume
Department of Urology, Hôpital de Saintes, Saintes, France.
Department of Urology, Hôpital de Saintes, Saintes, France.
Eur Urol. 2024 Mar;85(3):185-189. doi: 10.1016/j.eururo.2023.05.034. Epub 2023 Jun 5.
We report the world's first case series of ten robot-assisted radical prostatectomy (RARP) procedures performed with the Dexter robotic system (Distalmotion SA, Épalinges, Switzerland). The Dexter system is an open robotic platform that integrates into the existing operating room (OR) equipment. The optional sterile environment for the surgeon console provides flexibility for transition between a robot-assisted surgical procedure and a traditional laparoscopic setup, allowing surgeons to selectively use their preferred laparoscopic devices for specific surgical maneuvers on-demand. Ten patients underwent RARP ± lymph node dissection at Saintes Hospital (Saintes, France). Positioning and docking of the system were quickly mastered by the OR team. All procedures were successfully completed, without any intraprocedural complication, conversion to open surgery, or major technical failure. The median operative time was 230 min (interquartile range [IQR] 226-235), and the median length of stay was 3 d (IQR 3-4). This case series demonstrates the safety and feasibility of RARP with the Dexter system and provides the first insights into what an on-demand robotics platform could offer to hospitals willing to start or expand their robotic surgery program.
我们报告了世界上首例使用德克斯特机器人系统（Distalmotion SA，瑞士埃帕林格斯）进行的10例机器人辅助根治性前列腺切除术（RARP）的病例系列。德克斯特系统是一个开放式机器人平台，可集成到现有的手术室（OR）设备中。外科医生控制台的可选无菌环境为机器人辅助手术和传统腹腔镜手术设置之间的转换提供了灵活性，使外科医生能够根据需要选择性地使用他们首选的腹腔镜设备进行特定的手术操作。10例患者在法国圣特医院接受了RARP ± 淋巴结清扫术。手术室团队很快掌握了系统的定位和对接。所有手术均成功完成，无任何术中并发症、转为开放手术或重大技术故障。中位手术时间为230分钟（四分位间距[IQR] 226 - 235），中位住院时间为3天（IQR 3 - 4）。该病例系列证明了使用德克斯特系统进行RARP的安全性和可行性，并首次深入了解了按需机器人平台可为愿意启动或扩大其机器人手术项目的医院提供哪些帮助。
