Initial clinical application of domestic endoscopic surgical robot system for partial nephrectomy
10.3760/cma.j.cn112330-20210323-00144
- VernacularTitle:国产内窥镜手术机器人系统在肾部分切除术中的初步临床应用
- Author:
Xuesong LI
;
Shubo FAN
;
Shengwei XIONG
;
Xiaofei DAI
;
Kunlin YANG
;
Zhihua LI
;
Chang MENG
;
Jie WANG
;
Zheng ZHANG
;
Lin CAI
;
Cuijian ZHANG
;
Zhongyuan ZHANG
;
Wei YU
;
Cheng SHEN
;
Gang WANG
;
Liqun ZHOU
- From:
Chinese Journal of Urology
2021;42(5):375-380
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and effectiveness of Kangduo endoscopic surgical robot system for partial nephrectomy.Methods:Consecutive patients with stage T 1 renal tumor meeting the inclusion criteria from the Department of Urology, Peking University First Hospital from December 2020 to February 2021 were prospectively enrolled. All patients underwent partial nephrectomy with the Kangduo endoscopic surgical robot system after signing the informed consent. Clinical data including preoperative, perioperative and postoperative pathology and follow-up were collected. Results:Among the 26 patients, there were 16 males and 10 females, with a median age of 53(33-74) years, and a median body mass index of 25.99(20.90-32.91) kg/m 2. There were 12 cases of left kidney tumor and 14 cases of right kidney tumor. The median tumor diameter was 2.2(1.0-3.5) cm. The median time of warm ischemia was 17.7(7.1-29.2) minutes, and all of them were less than 30 minutes. The median docking time was 4.7(2.3-9.9) minutes, and the median time of robotic arm operation was 65.0 (37.0-155.0) minutes. The median National Aeronautics and Space Administration Task Load Index (NASA-TLX) score was 5.3 (2.0-28.0), and no instrument-related adverse events occurred intraoperatively. The median postoperative hospital stay was 4 (4-5) days. All tumor margins were negative on pathologic reports. No Clavien Ⅱ stage operative complications occurred in all patients during perioperative period and 1 month after the surgery. Conclusions:The partial nephrectomy using the kangduo endoscopic surgical robot system were completed successfully, and no instrument-related adverse events and complications occurred, showing that this surgical system used for partial nephrectomy is safe and effective.
