机器人与开放小切口活体供肾切除术：单中心经验。
Robotic versus open mini-incision living donor nephrectomy: Single centre experience.
机构信息
Division of Transplant Surgery, Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA.
Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA.
出版信息
Int J Med Robot. 2024 Aug;20(4):e2658. doi: 10.1002/rcs.2658.
BACKGROUND
Robotic surgery is associated with less tissue manipulation and earlier recovery with minimal incision. The aim of this study was to compare the short-term clinical outcomes between robotic-assisted donor nephrectomy (RDN) and open mini-incision donor nephrectomy (ODN).
METHODS
From 2016 to 2019, 141 cases involving RDN were analysed. Patient outcomes were compared with those of 191 patients who underwent ODN from 2010 to 2015. Demographics, operation factors, perioperative outcomes, and complications were retrospectively reviewed.
RESULTS
The RDN group presented with less blood loss than the ODN group (p = 0.023). The length of hospital stay was significantly shorter in the RDN group than in the ODN group (p < 0.005). The overall rate of complications was low and there was no significant difference in complication rates between the groups.
CONCLUSION
The robotic approach has benefits over the traditional open approach, including shorter length of hospital stay and reduced intraoperative blood loss.
背景
机器人手术与传统的开放式手术相比，具有组织损伤小、恢复快、微创的特点。本研究旨在比较机器人辅助供肾切除术（RDN）与开放式小切口供肾切除术（ODN）的短期临床疗效。
方法
回顾性分析 2016 年至 2019 年期间 141 例接受 RDN 的患者。并与 2010 年至 2015 年期间 191 例接受 ODN 的患者的临床资料进行比较。分析比较两组患者的一般资料、手术因素、围手术期结果和并发症。
结果
与 ODN 组相比，RDN 组术中出血量更少（p=0.023），住院时间更短（p<0.005）。两组并发症总发生率较低，差异无统计学意义。
结论
与传统的开放式手术相比，机器人手术具有减少术中出血量和缩短住院时间的优势。
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