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首页> 外文期刊>International journal of urology: official journal of the Japanese Urological Association >Robotic urological surgery in patients with prior abdominal operations is not associated with increased complications.
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Robotic urological surgery in patients with prior abdominal operations is not associated with increased complications.

机译：曾进行腹部手术的患者进行的机器人泌尿外科手术不会增加并发症的发生。

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BACKGROUND: The da Vinci Surgical Robotic System is being increasingly used to perform complex urological operations by minimally invasive techniques. Prior abdominal surgery associated with intra-abdominal adhesions may complicate robotic surgery. METHODS: We used a cohort of consecutive 49 patients undergoing a variety of robotic urological procedures at our institution to study the impact of prior abdominal operations on early perioperative complications. RESULTS: A total of 21/49 (43%) patients (Group A) had no history of prior abdominal surgery and the rest 28/49 (57%; Group B) had undergone prior abdominal surgery. The incidence of peritoneal adhesions was significantly higher in patients with prior abdominal surgery compared to the rest of the cohort, 54% versus 10% (P=0.002). The median operative time, estimated blood loss, postoperative drop in hemoglobin, time to hospital discharge, postoperative narcotic analgesic use and postoperative complication rate between group A and group B were not statistically different. The overall perioperative complication rate for the entire cohort was 14.3%, with 6-8% of complications occurring in each of the two groups (P=1.0). Comparative subset analysis of 28 patients in Group B, 15 (54%) and 13 (46%) with or without intra-abdominal adhesions did not reveal a significant difference in perioperative complication rates either. However, operative time was longer in patients with intra-abdominal adhesions compared to patients without, median of 590 (281-922) and 434 (153-723) min respectively, although not statistically significant (P=0.059). CONCLUSION: Our study demonstrates that robotic urological surgery can be performed in patients with prior abdominal surgery without increased perioperative complications.
机译：背景：达芬奇外科手术机器人系统正越来越多地用于通过微创技术执行复杂的泌尿外科手术。先前与腹部内粘连相关的腹部手术可能会使机器人手术复杂化。方法：我们在我们的机构中​​接受连续49例接受各种机器人泌尿外科手术治疗的患者，以研究先前腹部手术对围手术期早期并发症的影响。结果：共有21/49（43％）名患者（A组）没有进行过腹部手术史，其余28/49名患者（57％; B组）曾进行过腹部手术。与其余队列相比，先前进行过腹部手术的患者腹膜粘连的发生率显着更高，分别为54％和10％（P = 0.002）。 A组和B组的中位手术时间，估计失血量，术后血红蛋白下降，出院时间，术后使用麻醉性镇痛药以及术后并发症发生率无统计学差异。整个队列的总体围手术期并发症发生率为14.3％，两组的并发症发生率为6-8％（P = 1.0）。 B组中28例有或没有腹腔粘连的28例患者的比较亚组分析也未显示围手术期并发症发生率有显着差异。然而，与没有腹腔粘连的患者相比，有腹腔粘连的患者的手术时间更长，中位数分别为590分钟（281-922）和434分钟（153-723）分钟，尽管无统计学意义（P = 0.059）。结论：我们的研究表明，在进行过腹部手术的患者中可以进行机器人泌尿外科手术，而不会增加围手术期并发症的发生。

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