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Da Vinci Xi and Si platforms have equivalent perioperative outcomes during robot-assisted partial nephrectomy: preliminary experience

Authors
 Ali Abdel Raheem  ;  Abulhasan Sheikh  ;  Dae Keun Kim  ;  Atalla Alatawi  ;  Ibrahim Alabdulaali  ;  Woong Kyu Han  ;  Young Deuk Choi  ;  Koon Ho Rha 
Citation
 Journal of Robotic Surgery, Vol.11(1) : 53-61, 2017 
Journal Title
 Journal of Robotic Surgery 
ISSN
 1863-2483 
Issue Date
2017
MeSH
Female ; Humans ; Kidney Neoplasms/surgery ; Male ; Middle Aged ; Nephrectomy/instrumentation ; Nephrectomy/methods* ; Operative Time ; Perioperative Period ; Retrospective Studies ; Robotic Surgical Procedures/instrumentation ; Robotic Surgical Procedures/methods* ; Treatment Outcome
Keywords
Da Vinci Xi ; Partial nephrectomy ; Port placement ; Robotic surgery and renal tumor
Abstract
The aims of this study were to compare the perioperative outcomes of da Vinci Xi to Si during robotic-assisted partial nephrectomy (RAPN) and to discuss the feasibility of our novel port placement scheme for the da Vinci Xi platform, to overcome the existing kinetic and technical difficulties we faced with the linear port placement in patients with a small body habitus. A retrospective data analysis of patients who underwent RPN using da Vinci Xi (n = 18) was carried out. The outcomes of the Xi group were compared with the Si group (n = 18) selected using a case-matched methodology. For da Vinci Xi, we applied the universal linear port placement in 12 patients and our modified port placement in the remaining 6 patients. The Xi group had a shorter mean docking time of 17.8 ± 2.6 min compared to the Si group of 20.5 ± 2.1 min (p = 0.002); otherwise, no significant difference was present with regard to the remaining perioperative variables (p > 0.05). The modified Xi port placement had a shorter mean console time of 70.8 ± 9.7 min compared to the universal linear port placement of 89.3 ± 17.2 min (p = 0.03). Moreover, it provided a broader field of vision with excellent robotic arms movement, minimizing collisions and allowing an easier and comfortable surgical assist. Da Vinci Xi appears to be feasible and safe during RPN with similar outcomes to Si. The novel Xi port placement makes surgery easier in patients with low BMI.
Full Text
https://link.springer.com/article/10.1007%2Fs11701-016-0612-x
DOI
10.1007/s11701-016-0612-x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
나군호(Rha, Koon Ho) ORCID logo https://orcid.org/0000-0001-8588-7584
알리압델(Raheem, Ali Abdel)
최영득(Choi, Young Deuk) ORCID logo https://orcid.org/0000-0002-8545-5797
한웅규(Han, Woong Kyu) ORCID logo https://orcid.org/0000-0002-2527-4046
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154681
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