BMJ:机器人vs腹腔镜腹疝修补术与患者预后

2020-07-18 MedSci原创 MedSci原创

机器人和腹腔镜腹疝修补术在术后90天住院天数方面无显著差异,但机器人修复所需的手术时间和医疗费用显著增加

近日研究人员比较了机器人腹疝修补术与腹腔镜修补术对患者术后住院天数的影响。
 
研究在美国休斯顿多学科疝气诊所进行,124名择期微创腹疝修补术患者参与,随机接受机器人腹疝修补术(n=65)或腹腔镜腹疝修补术(n=59)。主要结果是术后90天内住院天数。 次要结果包括急诊就诊、手术时间、伤口并发症、疝复发、再手术、腹壁生活质量和医疗保健系统的成本。
 
两组患者在基线检查时相似。123例(99%)患者完成90天随访。两组住院天数无明显差异(中位数为0.90)。在次要结果方面,组间急诊科就诊、伤口并发症、疝复发或再次手术率无差异,但机器人修复所需的手术时间更长(141 v 77 min;平均差62.89 min),医疗费用较高($15865v$12955;成本比1.21;调整后的绝对成本差异$2767)。在机器人腹股沟疝修补术的患者中,2例做了肠切开术,而腹腔镜修补术组则没有。术后1个月腹壁生活质量的中位改善得分,机器人腹疝修补术组为3分,腹腔镜修补术组为15分。
 
研究认为,机器人和腹腔镜腹疝修补术在术后90天住院天数方面无显著差异,但机器人修复所需的手术时间和医疗费用显著增加。
 
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    2020-10-12 gaoxiaoe
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    2020-07-20 xue8602
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