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首页> 外文期刊>Urology >Initial comparison of robotic-assisted laparoscopic versus open pyeloplasty in children.
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Initial comparison of robotic-assisted laparoscopic versus open pyeloplasty in children.

机译：机器人辅助腹腔镜与开腹小叶成形术在儿童中的初步比较。

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OBJECTIVES: To compare the initial results of robotic-assisted laparoscopic versus open pyeloplasty in children with ureteropelvic junction obstruction. METHODS: From June 2002 to July 2004, 8 pediatric patients underwent robotic-assisted laparoscopic pyeloplasty and were matched by age group with patients undergoing conventional open pyeloplasty. The mean age was 11.5 years (range 6.4 to 16.5) in the robotic-assisted group and 9.8 years (range 6.0 to 15.6) in the open group. A four-port transperitoneal technique was used to perform the Anderson-Hynes pyeloplasty with the da Vinci Surgical System. RESULTS: The mean operative time and estimated blood loss was 363 minutes (range 255 to 522) and 13.1 mL (range 5 to 25) in the robotic-assisted group versus 248 minutes (range 144 to 375) and 53.8 mL (range 5 to 200) in the open group, respectively. The mean length of hospitalization and pain medication use was 2.4 days (range 1 to 5) and 7.4 mg morphine (range 0 to 23) in the robotic-assisted group comparedwith 3.3 days (range 1 to 8) and 22.0 mg morphine (range 0 to 100) in the open group, respectively. At a mean follow-up of 14.7 months (range 2 to 24), all robotic procedures were successful as determined by subjective data using pain scales and radiologic data. CONCLUSIONS: Robotic-assisted laparoscopic pyeloplasty appears to decrease the length of hospitalization and use of pain medication, but has a longer operative time. Additional clinical experience is required to determine the long-term efficacy of this method.
机译：目的：比较机器人辅助腹腔镜与开放性肾盂成形术治疗输尿管盆腔连接梗阻患儿的初步结果。方法：从2002年6月至2004年7月，对8例小儿患者进行了机器人辅助的腹腔镜肾盂成形术，并按年龄段与接受常规开放性肾盂成形术的患者相匹配。机器人辅助组的平均年龄为11.5岁（范围为6.4至16.5），开放组的平均年龄为9.8岁（范围为6.0至15.6）。达芬奇外科手术系统采用四端口经腹膜技术进行Anderson-Hynes肾盂成形术。结果：机器人辅助组的平均手术时间和估计失血量分别为363分钟（范围255至522）和13.1 mL（范围5至25）和248分钟（范围144至375）和53.8 mL（范围5至5）。 200）。机器人辅助组住院和止痛药的平均使用时间为2.4天（范围为1至5）和7.4毫克吗啡（范围为0至23），而3.3天（范围为1至8）和22.0 mg吗啡（范围为0）到100）。平均随访14.7个月（范围2到24），通过使用疼痛量表和放射学数据的主观数据确定所有机器人手术均成功。结论：机器人辅助的腹腔镜肾盂成形术可减少住院时间和止痛药的使用，但手术时间更长。需要更多的临床经验来确定这种方法的长期疗效。

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