Robot-Assisted Laparoscopic Radical Prostatectomy Using the KangDuo Surgical Robot System vs the da Vinci Si Robotic System

被引:31
作者
Fan, Shubo [1 ]
Hao, Han [1 ]
Chen, Silu [1 ]
Wang, Jie [1 ]
Dai, Xiaofei [2 ]
Zhang, Meng [1 ]
Chen, Xu [1 ]
Li, Zhihua [1 ]
Xiong, Shengwei [1 ]
Han, Guanpeng [1 ]
Zhu, Jun [1 ]
Zhang, Zhongyuan [1 ]
Yu, Wei [1 ]
Cui, Liang [2 ]
Shen, Cheng [1 ,3 ]
Zhou, Liqun [1 ,3 ]
Li, Xuesong [1 ,3 ]
机构
[1] Peking Univ, Peking Univ First Hosp, Inst Urol, Natl Urol Canc Ctr,Dept Urol,Beijing Key Lab Uroge, Beijing, Peoples R China
[2] Peking Univ, Civil Aviat Gen Hosp, Civil Aviat Med Coll, Dept Urol, Beijing, Peoples R China
[3] Peking Univ, Peking Univ First Hosp, Inst Urol, Natl Urol Canc Ctr,Dept Urol,Beijing Key Lab Uroge, 8 Xishiku St, Beijing 100034, Peoples R China
关键词
prostatic neoplasms; robotic surgical procedures; robotics; OUTCOMES;
D O I
10.1089/end.2022.0739
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective: To compare the efficacy and safety of robot-assisted laparoscopic radical prostatectomy (RARP) performed using the KangDuo surgical robot system to the da Vinci Si robotic system in clinically localized prostate cancer (KD-RARP vs DV-RARP).Methods: A total of 16 patients underwent extraperitoneal KD-RARP performed by a single experienced surgeon using the KangDuo surgical robot system between May 2021 and August 2021. The data were prospectively collected. The most recent 16 cases of extraperitoneal DV-RARP performed in 2021 by the same surgeon were selected from a prospectively maintained database for comparison to prevent operator variability. Preoperative, perioperative, and postoperative data were collected and compared between the two groups.Results: No significant difference was noted between the two groups in terms of basic clinical characteristics. All operations were performed successfully without open or traditional laparoscopic conversion. KD-RARP had a significantly longer operation time compared with DV-RARP (127 [107-159] vs 70.5 [54-90] minutes, p < 0.001). No significant differences between the two groups were observed in neurovascular bundle sparing, estimated blood loss, postoperative hospital stay duration, complications, positive surgical margins, biochemical recurrence, and continence recovery 3 months after catheter removal.Conclusions: RARP using the KangDuo surgical robot system achieved similar short-term oncological and functional outcomes with a disadvantage in operation time compared with the da Vinci Si robotic system. A multicenter randomized clinical trial with a larger sample size is needed for more experience.
引用
收藏
页码:568 / 574
页数:7
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