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

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