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Robotic-assisted intracorporeal versus extracorporeal techniques in sigmoidectomy: a propensity score-matched analysis.
Yao, Qing; Sun, Qian-Nan; Zhou, Jia-Jie; Ma, Yue; Ren, Jun; Wang, Liu-Hua; Wang, Dao-Rong.
Afiliación
  • Yao Q; Northern Jiangsu People's Hospital Affiliated to Dalian Medical University, Yangzhou, 225001, China.
  • Sun QN; Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, 225001, China.
  • Zhou JJ; General Surgery Institute of Yangzhou, Yangzhou University, Yangzhou, 225001, China.
  • Ma Y; Key Laboratory of Basic and Clinical Transformation of Digestive and Metabolic, Yangzhou, 225001, China.
  • Ren J; Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, 225001, China.
  • Wang LH; Key Laboratory of Basic and Clinical Transformation of Digestive and Metabolic, Yangzhou, 225001, China.
  • Wang DR; Medical Research Center of Northern Jiangsu People's Hospital, Yangzhou, 225001, China.
J Robot Surg ; 17(5): 2479-2485, 2023 Oct.
Article en En | MEDLINE | ID: mdl-37515681
Scarce research has been performed to assess the safety and efficacy of anastomosis technique on robotic-assisted sigmoidectomy. This study was designed to evaluate the difference between intracorporeal and extracorporeal techniques during robotic-assisted sigmoidectomy. Clinical data of 193 cases who received robotic-assisted sigmoidectomy were retrospectively collected and analyzed. Only 116 cases were available for analysis (intracorporeal group = 58 and extracorporeal group = 58) after propensity score matching. Independent sample t test was conducted to evaluate the continuous variables. Moreover, the statistical significance of categorical variables was tested using Chi-square or Fisher's exact tests. Statistical analysis showed that the intracorporeal group demonstrated greater superiorities in pain scale on the first and second postoperative day (P < 0.05), time of catheter indwelling (P = 0.009), and length of hospital stay (P = 0.019). Additionally, the intracorporeal technique contributed to fewer complications including urinary retention (P = 0.027) and hernia (P = 0.037) than the extracorporeal group. Our analysis revealed that intracorporeal technique was safe and feasible due to the shorter time of catheter indwelling and length of hospital stay and fewer post-operation complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: J Robot Surg Año: 2023 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: J Robot Surg Año: 2023 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido