Title | Pyeloplasty with the Kangduo Surgical Robot vs the da Vinci Si Robotic System: Preliminary Results |
Authors | Fan, Shubo Xiong, Shengwei Li, Zhihua Yang, Kunlin Wang, Jie Han, Guanpeng Li, Xinfei Chen, Silu Yuan, Changwei Meng, Chang Dai, Xiaofei Mu, Li Li, Xuesong Zhou, Liqun |
Affiliation | Peking Univ, Peking Univ Hosp 1, Inst Urol, Natl Urol Canc Ctr, Beijing, Peoples R China Peking Univ, Civil Aviat Gen Hosp, Dept Urol, Civil Aviat Med Coll, Beijing, Peoples R China Peking Univ First Hosp, Dept Operat Room, Beijing, Peoples R China Peking Univ, Peking Univ Hosp 1, Inst Urol, Natl Urol Canc Ctr, 8 Xishiku St, Beijing 100034, Peoples R China Peking Univ First Hosp, Dept Operat Room, Beijing 100034, Peoples R China Peking Univ, Peking Univ Hosp 1, Inst Urol, Natl Urol Canc Ctr, 8 Xishiku St, Beijing 100034, Peoples R China |
Keywords | URETEROPELVIC JUNCTION OBSTRUCTION TELELAP ALF-X LAPAROSCOPIC PYELOPLASTY COMPLICATIONS CHILDREN |
Issue Date | Aug-2022 |
Publisher | JOURNAL OF ENDOUROLOGY |
Abstract | Objective: To share our experience in robot-assisted pyeloplasty (RAP) with the Kangduo (KD) surgical robot vs the da Vinci Si (DV) robotic system (KD-RAP vs DV-RAP, respectively).Methods: From August 2019 to February 2021, 16 patients with ureteropelvic junction obstruction (UPJO) underwent KD-RAP and other 16 patients with UPJO accepted DV-RAP. All procedures were performed by the same surgeon. The perioperative results and follow-up data were prospectively collected and compared.Results: There was no conversion to open or laparoscopic surgery. The mean operation time was significantly longer in the KD-RAP group than the DV-RAP group (141 +/- 28 minutes vs 118 +/- 31 minutes, respectively, p = 0.04). The time per stitch was significantly longer in the KD-RAP group than the DV-RAP group (1.7 +/- 0.5 minutes vs 1.4 +/- 0.3 minutes, respectively, p = 0.05). No significant difference was noted in the estimated blood loss and the postoperative length of hospitalization. At a median follow-up of 19 (range 17-21) and 19.5 (range 14-33) months for the KD-RAP and DV-RAP groups, respectively, no difference was noted in the success rates between the KD-RAP and DV-RAP groups (93.75% and 100%, respectively; p = 0.31). Complications were comparable between the two groups (p = 0.54). One (6.3%) patient developed urinary infection, which responded well to oral antibiotics in KD-RAP group and 2 (12.5%) patients suffered from irritation symptoms of bladder, which improved after removal of Double-J stent in the DV-RAP group.Conclusions: The RAP with the use of the KD system was feasible, safe, and effective. The DV-RAP group showed advantage in the operation time and the time per stitch. |
URI | http://hdl.handle.net/20.500.11897/650736 |
ISSN | 0892-7790 |
DOI | 10.1089/end.2022.0366 |
Indexed | SCI(E) |
Appears in Collections: | 第一医院 校医院 北京民用航空总医院 |