Robotic-assisted adrenalectomy using da Vinci Xi vs. Si: are there differences?

被引：0
作者：
Zuliang Feng
Michael P. Feng
David P. Feng
Carmen C. Solórzano
机构：
[1] Vanderbilt University Medical Center,Department of Perioperative Services
[2] Vanderbilt University Medical Center,Department of General Surgery
[3] Vanderbilt University Medical Center,Department of Urology Surgery
[4] Vanderbilt University Medical Center,Division of Surgical Oncology and Endocrine Surgery
来源：
Journal of Robotic Surgery | 2020年 / 14卷
关键词：
Da Vinci; Robotic-assisted adrenalectomy; Transabdominal approach; Posterior retroperitoneal approach; Anesthesia time; Procedure time; Xi group; Si group;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Da Vinci Xi, the fourth generation platform, was released in 2014 and introduced as the successor to the Si platform for minimal invasive surgery. We reviewed our experience with robotic-assisted adrenalectomy and compared peri-operative outcomes using the da Vinci robot model Xi vs. Si. Since June of 2014, 85 consecutive patients underwent robotic-assisted adrenalectomy by a high-volume adrenal surgeon at our institution. Patients were divided into two groups: Xi group (n = 25) and Si group (n = 60). The average anesthesia time was 145.8 min for the Xi group and 170.4 min for the Si group (p = 0.001). The mean procedure time for the Xi group (skin to skin) was 92.1 min and for the Si group it was 122.5 min (p = 0.001). The average docking time for the Xi group was 18.2 min and for the Si group 20.3 min (p = 0.04). The average consumables fees for the Xi group were $1246 and for the Si group $1106 (p = 0.04). The calculated relative costs for the Xi group were $3375 and for the Si group $3527 (p = 0.03). The average post-operative hospital stay for the Xi group was 1.6 days and for the Si group 1.7 days (p = 0.18). Robotic-assisted adrenalectomy using the da Vinci Xi system is effective and efficient. This study shows that outcomes were similar between Xi and Si groups.
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页码：349 / 355
页数：6
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