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首页> 外文期刊>The Journal of Urology >Padded velcros? strap immobilization after bladder exstrophy closure
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Padded velcros? strap immobilization after bladder exstrophy closure

机译：加垫魔术贴？膀胱萎缩症闭合后束带固定

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Purpose: Robotic surgery has evolved from simple extirpative surgery to complex reconstructions even in infants. Data are lacking comparing surgical and direct costs to open approaches. We describe the feasibility, salient tips and outcomes of robot-assisted laparoscopic pyeloplasty compared to an open approach. Materials and Methods: We evaluated patients undergoing open pyeloplasty or robot-assisted laparoscopic pyeloplasty. Ten patients in each group met inclusion criteria. Results: Mean patient age was 3.31 months in the open group and 7.3 months in the robotic group (p = 0.02). Postoperative outcomes including length of stay (2.2 vs 2.1 days), estimated blood loss (6.5 vs 7.6 ml), days to regular diet (1 vs 1.1) and days to Foley catheter removal (1.3 vs 1.3) were similar between the open and robotic groups. Total operating time (199 vs 242 minutes) was significantly longer in the robotic group. Postoperative improvement in hydronephrosis was identical in both groups. Direct costs, excluding amortization, robotic cost, maintenance and depreciation, were $4,410 in the open group and $4,979 in the robotic group (p = 0.10). Conclusions: In our preliminary experience robotic pyeloplasty in infants is feasible and safe. The immediate outcomes are similar to those of an open approach. The robotic technique in infants currently has the benefits of improved esthetic appearance, improved pain control and similar direct costs compared to the traditional open approach.
机译：目的：机器人手术已经从简单的根除性手术发展到复杂的重建，甚至在婴儿中也是如此。缺乏将开放式手术的手术费用和直接费用进行比较的数据。我们描述了与开放方法相比，机器人辅助腹腔镜肾盂成形术的可行性，显着性提示和结果。材料和方法：我们评估了接受开腹肾盂成形术或机器人辅助腹腔镜肾盂成形术的患者。每组十名患者符合纳入标准。结果：开放组的平均患者年龄为3.31个月，机器人组的平均患者年龄为7.3个月（p = 0.02）。开放式和机器人式的术后结果包括住院时间（2.2 vs 2.1天），估计失血量（6.5 vs 7.6 ml），定期饮食的天数（1 vs 1.1）和Foley导管摘除天数（1.3 vs 1.3）相似。组。机器人组的总操作时间（199 vs 242分钟）明显更长。两组肾积水的术后改善相同。不包括摊销，机械手成本，维护和折旧的直接成本在开放组中为4,410美元，在机械组中为4,979美元（p = 0.10）。结论：根据我们的初步经验，婴儿进行机器人肾盂成形术是可行和安全的。即时结果类似于开放式方法。与传统的开放式方法相比，婴儿中的机器人技术目前具有以下优点：改善了美学外观，改善了疼痛控制并降低了直接费用。

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