AI Article Synopsis
- - The study compares the safety and effectiveness of the KangDuo-Surgical Robot-01 (KD-SR-01) and the da Vinci (DV) systems for robot-assisted radical nephroureterectomy (RARNU) through a multicenter trial involving 58 patients from March 2022 to September 2023.
- - Results showed no significant differences in operative metrics and outcomes between the two systems, with both achieving 100% success rates and no serious complications during a four-week follow-up period.
- - The KD-SR-01 system is deemed safe and effective for RARNU, although the authors recommend further research with larger sample sizes and extended follow-up for more comprehensive results.
Article Abstract
Introduction: We aim to compare the safety and effectiveness of the KangDuo (KD)-Surgical Robot-01 (KD-SR-01) system and the da Vinci (DV) system for robot-assisted radical nephroureterectomy (RARNU).
Materials And Methods: This multicenter prospective randomized controlled trial was conducted between March 2022 and September 2023. Group 1 included 29 patients undergoing KD-RARNU. Group 2 included 29 patients undergoing DV-RARNU. Patient demographic and clinical characteristics, perioperative data, and follow-up outcomes were collected prospectively and compared between the two groups.
Results: There were no significant differences in patient baseline demographic and preoperative characteristics between the two groups. The success rates in both groups were 100% without conversion to open or laparoscopic surgery or positive surgical margins. No significant difference was observed in docking time [242 (120-951) s vs 253 (62-498) s, P = 0.780], console time [137 (55-290) min vs 105 (62-220) min, P = 0.114], operative time [207 (121-460) min vs 185 (96-305) min, P = 0.091], EBL [50 (10-600) mL vs 50 (10-700) mL, P = 0.507], National Aeronautics and Space Administration Task Load Index scores, and postoperative serum creatinine levels between the two groups. None of the patients showed evidence of distant metastasis, local recurrence, or equipment-related adverse events during the four-week follow-up. One (3.4%) patient in Group 2 experienced postoperative enterovaginal and enterovesical fistulas (Clavien-Dindo grade III).
Conclusions: The KD-SR-01 system is safe and effective for RARNU compared to the DV Si or Xi system. Further randomized controlled studies with larger sample sizes and longer durations are required.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554279 | PMC |
| http://dx.doi.org/10.1590/S1677-5538.IBJU.2024.0230 | DOI Listing |
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