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首页> 外文期刊>Journal of Thoracic Disease >Impact of da Vinci Xi robot in pulmonary resection
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Impact of da Vinci Xi robot in pulmonary resection

机译：达芬奇XI机器人在肺切除术中的影响

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Background: This study sought to evaluate the impact of a da Vinci Xi surgical robot on perioperative outcomes after pulmonary resections. Methods: A retrospective analysis of prospectively collected STS data was performed at a single institution for patients who underwent elective lung resections from 2012 to 2019. Patient outcomes were compared at three different time periods: before the adoption of the robot technology (predominately VATS), during the initial robot experience (the first 18 months), and after the mature robot experience (the second 18 months). Univariate and multivariate logistic regression modeling was performed to determine the factors associated with perioperative complications. Results: Five hundred and four patients underwent pulmonary resection between the three time periods: 220 patients (43.7%) had surgery prior to the first use of the robot (predominately VATS), 126 patients (25%) had surgery during the initial experience with robot, and 158 patients (31.1%) had surgery during the mature robot experience. There were significantly less post-operative complications (15.2% vs. 34.9% vs. 39.1%, P0.001), shorter median length of stay (2 vs. 3 vs. 4 days, P0.001), and lower hospital readmission rates (1.9% vs. 4% vs. 11.8%, P0.001) in the mature robot period compared to the initial robot period and the predominately VATS period, respectively. Multivariate analysis showed that the robot was associated with a decrease in post-operative complications (OR 0.36; 95% CI, 0.23–0.57, P0.001). Conclusions: The adoption of a da Vinci Xi robot in our institution was associated with improved outcomes in patients having pulmonary resections.
机译：背景：本研究试图评估肺切除后达芬奇XI手术机器人对围手术期结果的影响。方法：对预期收集的STS数据的回顾性分析是在2012年至2012年接受选修肺切除术的患者的单一机构中进行的。患者结果在三个不同的时间段进行了比较：在通过机器人技术（主要是VATS）之前，在初始机器人体验（前18个月），以及成熟的机器人体验（第二个月）之后。进行单变量和多变量逻辑回归建模，以确定与围手术期并发症相关的因素。结果：五百四名患者在三次肺切除术后肺切除术：220名患者（43.7％）在首次使用机器人之前（主要是VATS），126名患者（25％）在初步经验期间进行手术机器人和158名患者（31.1％）在成熟的机器人体验中进行了手术。术后并发症显着较低（15.2％对34.9％Vs.39.1％，P <0.001），较短的中位数逗留时间（2与3，4天，P <0.001）和较低医院入院率与初始机器人期间和主要的大桶期间相比，成熟机器人期间（1.9％对4％，P <0.001）分别与初始机器人周期和主要的大桶期间。多变量分析表明，机器人与后术后并发症的减少有关（或0.36; 95％CI，0.23-0.57，P <0.001）。结论：在我们机构中采用Da Vinci Xi机器人与肺切除患者的改善结果有关。

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