使用 Hinotori 手术机器人系统行机器人辅助腹腔镜肾盂成形术治疗肾盂输尿管连接部梗阻的初步经验。

Initial Experience of Robot Assisted Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction Using the Hinotori Surgical Robot System.

机构信息

Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.

出版信息

Int J Med Robot. 2024 Oct;20(5):e2673. doi: 10.1002/rcs.2673.

DOI:10.1002/rcs.2673

PMID:39290198

Abstract

BACKGROUND

This study aimed to investigate the perioperative outcomes of robot-assisted laparoscopic pyeloplasty (RLP) using the recently launched hinotori surgical robot system.

METHODS

This retrospective study compared the perioperative outcomes of 11 consecutive patients who underwent RLP with the hinotori surgical robot system from October 2022 to March 2024 (hinotori group) and 30 consecutive patients who underwent RLP with the da Vinci system from March 2019 to September 2022 (da Vinci group).

RESULTS

The patient characteristics of the groups were similar. The median operative times in the hinotori and da Vinci groups were 236.0 and 231.5 min, respectively (p = 0.480). The success rates were 100.0% and 96.7%, respectively (p = 1.000). Clavien-Dindo grade ≥ 3 complications occurred in one patient (9.1%) in the hinotori group and one patient (3.3%) in the da Vinci group (p = 0.470).

CONCLUSIONS

The perioperative outcomes in the hinotori group were not inferior to those in the da Vinci group.

摘要

背景

本研究旨在探讨使用最新推出的 hinotori 手术机器人系统行机器人辅助腹腔镜肾盂成形术（RLP）的围手术期结果。

方法

本回顾性研究比较了 2022 年 10 月至 2024 年 3 月期间使用 hinotori 手术机器人系统连续进行的 11 例 RLP 患者（hinotori 组）和 2019 年 3 月至 2022 年 9 月期间使用达芬奇系统连续进行的 30 例 RLP 患者（达芬奇组）的围手术期结果。

结果

两组患者的特征相似。hinotori 组和达芬奇组的中位手术时间分别为 236.0 和 231.5 分钟（p=0.480）。成功率分别为 100.0%和 96.7%（p=1.000）。hinotori 组有 1 例（9.1%）患者和达芬奇组有 1 例（3.3%）患者发生 Clavien-Dindo 分级≥3 级并发症（p=0.470）。