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| DOI | 10.1016/J.UROLOGY.2023.01.042 | ||||
| Año | 2023 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Objective: To report our initial experience with the use of HUGO Robotic Assisted Surgery System (RAS) for nononcological urologic disease. Methods: We collected retrospective data describing clinical outcomes from patients undergoing surgeries for nononcological urologic disease with the new HUGO RAS. Analysis included: total surgery and console time, docking time, estimated bleeding, complications, and pain after surgery. Results: There were 5 patients operated for nononcological urologic disease. The mean age was 50 years (range 32-70), comorbidities were mild (2 patients with chronic hypertension) and American Society of Anesthesiologists (ASA) classification was 2. Total surgical time ranged from 150 to 257 minutes, and console time from 89 to 164 minutes, each depending on the intervention. The mean docking time was 8.5 minutes (range 5.7-11). No intraoperative complications, instrument clashes, or system failure that compromised the surgery's completion were recorded. Mean blood loss ranged from 10-30 mL, and there were no postoperative complications. Postoperative pain classified from 0-10 at 1, 6, and 12 hours was low (range 0-3), and pain before discharge was 0 for all patients. Hospital stay ranged from 2 to 5 days, depending on the intervention. Conclusion: Robotic surgery was introduced in early 2000s and was rapidly adopted. Initially, this technology was reserved for oncological surgery, later expanding to nononcological conditions. These preliminary results are comparable to the previous robotic systems, suggesting the multiple potential uses of the HUGO RAS. The adoption of this technology has the potential to improve patient accessibility for less-invasive therapies in developing countries.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Elorrieta, Vicente | Hombre |
Universidad Finis Terrae - Chile
Clínica Santa María - Chile |
| 2 | Villena, José | Hombre |
Universidad Finis Terrae - Chile
Clínica Santa María - Chile |
| 3 | Kompatzki, Alvaro | Hombre |
Universidad Finis Terrae - Chile
Clínica Santa María - Chile |
| 4 | Velasco, Alfredo | Hombre |
Universidad Finis Terrae - Chile
Clínica Santa María - Chile |
| 5 | Salvado, Jose A. | Hombre |
Universidad Finis Terrae - Chile
Clínica Santa María - Chile |
| Agradecimiento |
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| Statement of Ethics: All procedures involving human participants were performed in accordance with the ethical standards of the institutional and local scientific research ethics committees and with the 1964 Helsinki Declaration. Upon recruitment, each patient provided written informed consent. This study protocol was reviewed and approved by local “Scientific ethics committee”, belonging to Clínica Santa María, approval act date October 18th, 2021 (the name of the ethics committee is: “Comité Ético Científico de Clínica Santa María”). Funding Support: No funding was received by any sponsor or source for the preparation of data for the manuscript for this study. |