|Table of Contents|

Comparison of the application effects of domestically-produced surgical robot and da Vinci surgical robot in partial nephrectomy for renal tumors

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2025 03
Page:
448-452
Research Field:
Publishing date:

Info

Title:
Comparison of the application effects of domestically-produced surgical robot and da Vinci surgical robot in partial nephrectomy for renal tumors
Author(s):
MA Tao; LIU Zhiwei; AN Feng; CUI Zhenyu; GAO Chao; ZHANG Wei; SUO Yong; SONG Shichao; LI Kai
Department of Urology,Affiliated Hospital of Hebei University,Hebei Baoding 071000,China.
Keywords:
renal cancer; domestic robot; safety; effectiveness
PACS:
R737.11
DOI:
10.3969/j.issn.1672-4992.2025.03.014
Abstract:
Objective:To compare the safety and effectiveness of renal partial nephrectomy (RPN) performed using domestic robot versus da Vinci robot.Methods:A retrospective analysis was conducted on clinical data from patients who underwent robot-assisted laparoscopic partial nephrectomy (RALPN) at our hospital between April 2023 and December 2023.Inclusion criteria:①Preoperative imaging indicating renal tumors.②Single T1aN0M0 or T1bN0M0 stage renal tumors.③RALPN performed by the same surgeon and assistant.④RENAL score ≤9.⑤Signed informed consent and ability to comply with regular follow-up visits.Exclusion criteria:①Preoperative imaging indicating multiple renal tumors.②Preoperative imaging suggesting distant metastasis.③Severe cardiac,hepatic,or renal insufficiency indicated by general examinations,rendering the patient unable to tolerate surgery.④Incomplete clinical case data.Clinical and perioperative data were collected from the patients.Results:A total of 33 patients were included in this study,with 14 patients in the domestic robot group and 19 patients in the da Vinci group.There were no significant differences between the domestic and da Vinci groups in terms of patient age ［(58.00±11.47) years vs (61.84±12.09) years］,gender (79% males vs 68% males),BMI ［(26.15±3.47) kg/m2 vs (26.49±4.47) kg/m2］,RENAL score ［(5.36±1.50) vs (5.89±1.20)］,maximum tumor diameter ［(2.75±1.04) cm vs (2.95±1.08) cm］,median intraoperative blood loss ［50(30,50) mL vs 20(20,50) mL］,change in serum creatinine within 24 hours postoperatively ［(13.50±9.31) μmol/L vs (13.68±10.34) μmol/L］,postoperative drain removal time ［(3.43±0.85) days vs (3.63±0.76) days］,and median postoperative hospital stay ［5(5,7) days vs 5(5,6) days］.However,the median operative time was significantly longer in the domestic robot group compared to the da Vinci group ［182.5(157.5,205.0) minutes vs 110.0(95,155) minutes］.All surgeries were successfully completed without conversion to open procedures or surgical complications.Postoperative pathological results were malignant,with negative surgical margins for all specimens.Conclusion:In the application of RPN for renal tumors,domestic robots demonstrate comparable surgical safety and effectiveness to the da Vinci robot.Overall,domestic robots have certain clinical application value in RALPN.

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河北省政府资助临床医学优秀人才培养项目（编号：ZF2023233）
Last Update: 1900-01-01