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用于盆腔器官脱垂治疗的机器人辅助骶骨阴道固定术中HUGO机器人辅助手术系统与达芬奇Xi手术系统的比较分析。

A comparative analysis of the HUGO robot-assisted surgery system and the Da Vinci Xi surgical system for robot-assisted sacrocolpopexy for pelvic organ prolapse treatment.

作者信息

Collà Ruvolo Claudia, Afonina Margarita, Balestrazzi Eleonora, Paciotti Marco, Piro Adele, Piramide Federico, Bravi Carlo Andrea, Peraire Lores Maria, Sorce Gabriele, Belmonte Mario, Rebuffo Silvia, Ticonosco Marco, Frego Nicola, Gaia Giorgia, De Groote Ruben, Mottrie Alexandre, De Naeyer Geert

机构信息

Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium.

ORSI Academy, Ghent, Belgium.

出版信息

Int J Med Robot. 2023 Oct 20:e2587. doi: 10.1002/rcs.2587.

Abstract

BACKGROUND

We aimed to compare the outcomes of Robot-assisted sacrocolpopexy (RASC) performed using the novel HUGO Robot-Assisted Surgery (RAS) System with the Da Vinci Xi surgical system.

METHODS

Data from 38 women undergoing RASC for a ≥ 2-grade pelvic organ prolapse were collected (2021-2023).

RESULTS

Overall, 23 (60.5%) and 15 (39.5%) procedures were performed using the DaVinci Xi and the HUGO RAS system, respectively. The median total operative time was 123 (IQR:106.5-140.5) minutes for the DaVinci Xi versus 120 (IQR:120-146) minutes for the HUGO RAS cases (p = 0.5). No conversion to open/laparoscopic surgery, perioperative complications, or system failures occurred. No differences were recorded according to day of catheter removal and length of stay.

CONCLUSIONS

This study represents the first worldwide comparison of RASC executed using the HUGO RAS versus the Da Vinci Xi System. Our data suggest that RASC might be performed with both robotic platforms with similar perioperative outcomes.

摘要

背景

我们旨在比较使用新型HUGO机器人辅助手术(RAS)系统与达芬奇Xi手术系统进行机器人辅助骶骨阴道固定术(RASC)的结果。

方法

收集了2021年至2023年期间38例因≥2级盆腔器官脱垂接受RASC手术的女性的数据。

结果

总体而言,分别使用达芬奇Xi和HUGO RAS系统进行了23例(60.5%)和15例(39.5%)手术。达芬奇Xi组的中位总手术时间为123(四分位间距:106.5 - 140.5)分钟,而HUGO RAS组为120(四分位间距:120 - 146)分钟(p = 0.5)。未发生转为开放/腹腔镜手术、围手术期并发症或系统故障。在拔管日期和住院时间方面未记录到差异。

结论

本研究是全球首次对使用HUGO RAS与达芬奇Xi系统进行的RASC进行比较。我们的数据表明,两种机器人平台进行RASC的围手术期结果相似。

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