Jing Taile, Peng Ding, Yao Xiaolin, Ye Sunyi, Zhao Qianqian, Ni Meng, Shao Jing, Xu Xin, He Anbang, Liang Zhen, Lai Chong, Qi Honggang, Meng Hongzhou, Wang Ping, Wang Shuo, Xia Dan
Department of Urology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Operating Room, Department of Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
J Endourol. 2023 Oct;37(10):1105-1112. doi: 10.1089/end.2023.0185.
The aim of this study was to explore the safety and efficacy of radical prostatectomy with a novel Shurui single-port (SR-SP) robotic surgical system. A total of 11 patients with prostate cancer were enrolled in this study. Extraperitoneal radical prostatectomy was performed using the SR-SP robotic surgical system for all patients. Clinicopathologic data, perioperative data, and short-term surgical outcomes were prospectively collected and analyzed. Of the 11 patients, the median age was 65 years (range 52-73), and the median body mass index was 22.6 kg/m (range 20.2-26.7). The median operative time was 229 minutes (range 194-317), and the median console time was 167 minutes (range 141-265). The median blood loss was 40 mL (range 10-120), and none of the patients required intraoperative transfusion. There was no conversion to open surgery during the operation, and no assistant ports were added. The surgeons reported a good task load rating with a National Aeronautics and Space Administration Task Load Index (NASA-TLX) score of 25.1 ± 3.3 points. The median postoperative hospital stay time was 7 days (range 4-15). There were no severe intraoperative or postoperative complications (Clavien grade ≥3). Postoperative positive surgical margin occurred in 4 (36.4%) patients. No biochemical recurrence occurred within 1 month of surgery. The continence rate was 72.7% (8/11) 1 month after surgery. The new SR-SP robotic surgical system is safe, effective, flexible, and stable for application in radical prostatectomy.
本研究旨在探讨使用新型舒瑞单孔（SR-SP）机器人手术系统进行根治性前列腺切除术的安全性和有效性。本研究共纳入11例前列腺癌患者。所有患者均使用SR-SP机器人手术系统进行腹膜外根治性前列腺切除术。前瞻性收集并分析临床病理数据、围手术期数据和短期手术结果。11例患者中，年龄中位数为65岁（范围52 - 73岁），体重指数中位数为22.6 kg/m²（范围20.2 - 26.7）。手术时间中位数为229分钟（范围194 - 317分钟），控制台操作时间中位数为167分钟（范围141 - 265分钟）。术中失血中位数为40 mL（范围10 - 120 mL），无患者需要术中输血。手术过程中无转为开放手术的情况，也未增加辅助切口。外科医生报告任务负荷评级良好，美国国家航空航天局任务负荷指数（NASA-TLX）评分为25.1 ± 3.3分。术后住院时间中位数为7天（范围4 - 15天）。无严重术中或术后并发症（Clavien分级≥3级）。4例（36.4%）患者术后切缘阳性。术后1个月内无生化复发。术后1个月控尿率为72.7%（8/11）。新型SR-SP机器人手术系统在根治性前列腺切除术中应用安全、有效、灵活且稳定。
