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Meta-analysis Published in Annals of Surgery Shows Benefits of Da Vinci Surgery Across Seven Oncologic Procedures Compared to Laparoscopic and Open

Meta-analysis Published in Annals of Surgery Shows Benefits of Da Vinci Surgery Across Seven Oncologic Procedures Compared to Laparoscopic and Open

發表於《外科年鑑》的Meta分析顯示,與腹腔鏡手術和開放手術相比,達芬奇手術在七種腫瘤手術中的好處。
直覺外科公司 ·  12/05 13:00
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Analysis included 230 studies—a mix of randomized, prospective, and database research

分析包括230項研究,包括隨機研究、前瞻性研究和數據庫研究

SUNNYVALE, Calif., Dec. 05, 2024 (GLOBE NEWSWIRE) -- (NASDAQ:ISRG)

加利福尼亞州森尼維爾,2024 年 12 月 5 日(環球新聞專線)--(納斯達克股票代碼:ISRG)

The peer-reviewed Annals of Surgery published a meta-analysis of 30-day surgical outcomes across seven oncological surgical procedures, comparing robotic, laparoscopic, and open surgical approaches. The study covered a 12-year timeframe and analyzed 230 studies from 22 countries: 34 randomized controlled trials, 74 prospective studies, and 122 database reviews. Each surgical approach represented more than a million procedures.

經過同行評審的《外科年鑑》發表了對七種腫瘤外科手術的30天手術結果的薈萃分析,比較了機器人、腹腔鏡和開放式手術方法。該研究涵蓋了12年的時間框架,分析了來自22個國家的230項研究:34項隨機對照試驗、74項前瞻性研究和122項數據庫審查。每種手術方法代表超過一百萬例手術。

The meta-analysis, conducted by scientists from Intuitive and Massachusetts General Hospital, demonstrated multiple benefits for robotic surgery using Intuitive's da Vinci system as compared to laparoscopy and open surgery.

這項由Intuitive和麻薩諸塞州綜合醫院的科學家進行的薈萃分析表明,與腹腔鏡檢查和開腹手術相比,使用Intuitive的達芬奇系統進行機器人手術具有多種益處。

"Robotic surgery with da Vinci showed fewer conversions, less blood loss, fewer blood transfusions, fewer readmissions and reoperations, and a shorter length of stay after 30 days," said Intuitive Executive Vice President and Chief Medical Officer Myriam Curet, MD.

Intuitive執行副總裁兼首席醫學官Myriam Curet醫學博士說:「使用達芬奇進行的機器人手術顯示轉化率更低,失血量更少,輸血次數更少,再入院和再手術更少,30天后的住院時間也更短。」

"The editors at the Annals of Surgery thoroughly scrutinized and peer-reviewed this study prior to acceptance," said Curet. "The quality of scientific data we are seeing after decades of robotic surgery underscores the value that the da Vinci robotic approach continues to have for improved surgical care."

庫雷特說:「《外科年鑑》的編輯在接受這項研究之前對這項研究進行了徹底的審查和同行評審。」「經過數十年的機器人手術,我們看到的科學數據質量凸顯了達芬奇機器人方法在改善外科護理方面的持續價值。」

Notable study results included:

值得注意的研究結果包括:

  • Da Vinci robotic cases were 56 percent less likely to convert to open surgery versus laparoscopy.
  • Da Vinci robotic cases saw less blood loss versus open, comparable blood loss with laparoscopy.
  • Da Vinci robotic cases were 21 percent less likely to require blood transfusions versus laparoscopy and 75 percent versus open.
  • Da Vinci cases were 10 percent less likely to experience 30-day postop complications versus laparoscopy; 44 percent versus open.
  • Da Vinci cases saw a half-day savings in hospital stay compared to laparoscopy and 1.9 days compared to open.
  • Operative time for da Vinci cases was 17.7 minutes longer than laparoscopy and 40.9 minutes longer than open.
  • 與腹腔鏡相比,達芬奇機器人病例轉化爲開腹手術的可能性降低了56%。
  • 與腹腔鏡手術相比,達芬奇機器人病例的失血量更少。
  • 與腹腔鏡檢查相比,達芬奇機器人病例需要輸血的可能性降低了21%,與開放式相比,需要輸血的可能性降低了75%。
  • 與腹腔鏡檢查相比,達芬奇病例出現30天后併發症的可能性降低了10%;與開放性相比,達芬奇病例出現後30天併發症的可能性降低了44%。
  • 與腹腔鏡檢查相比,達芬奇病例的住院時間可節省半天,與開診相比,可節省1.9天。
  • 達芬奇病例的手術時間比腹腔鏡檢查長17.7分鐘,比開腹手術時間長40.9分鐘。

"The data presented in our study describes the value of robotics in both the controlled clinical setting of randomized controlled trials and in the 'real-clinical-world' of population-based studies," said Rocco Ricciardi, MD, MPH, lead study author and chief of colon and rectal surgery at the Massachusetts General Hospital.

首席研究作者兼麻省總醫院結腸和直腸外科主任羅科·裏恰爾迪說:「我們的研究中提供的數據描述了機器人技術在隨機對照試驗的對照臨床環境和基於人群的研究的'現實臨床世界'中的價值。」

"Ultimately, demonstrating population-based gains with robotics allows us to determine value of robotic procedures for the average person who might need surgery."

「歸根結底,通過機器人技術證明基於人口的增長使我們能夠確定機器人手術對可能需要手術的普通人的價值。」

Traditional minimally invasive surgery offers many benefits but presents several technical limitations—notably lower quality vision and depth perception, camera instability, limited range of motion and dexterity due to the straight and rigid hand-held instruments, and it can take a severe physical toll on the surgeon.

傳統的微創手術具有許多好處,但存在一些技術侷限性——尤其是視力和深度感知質量較低、攝像機不穩定、由於手持器械筆直而僵硬導致的活動範圍和靈活性有限,並且可能會給外科醫生造成嚴重的身體損失。

Intuitive technology introduced in the da Vinci surgical system has helped surgeons overcome many of those technological limitations via advanced 3DHD vision, wristed instrumentation, and greater precision, especially in deep, limited, or narrow areas of the body such as the chest, abdomen, and pelvis.

達芬奇手術系統中引入的直觀技術通過先進的3DHD視覺、手腕設備和更高的精度幫助外科醫生克服了許多技術限制,尤其是在胸部、腹部和骨盆等身體深部、有限或狹窄的區域。

There have been numerous studies comparing perioperative outcomes between robotic, laparoscopic, and open surgery but they have focused on individual procedures, which result in procedure-specific evaluations.

已經有許多研究比較了機器人、腹腔鏡和開腹手術的圍手術期結果,但這些研究側重於個別手術,從而進行了針對具體手術的評估。

Intuitive's study in the Annals of Surgery looked at randomized controlled trials, prospective cohort, and database studies published within the last 12 years, and it shows multiple benefits for robotic surgery using the da Vinci system compared to laparoscopic and open surgery, which may be useful to decision makers who are considering the use of robotics in a multi-specialty setting.

Intuitive在《外科年鑑》中的研究着眼於過去12年內發表的隨機對照試驗、前瞻性隊列和數據庫研究,它表明,與腹腔鏡和開腹手術相比,使用達芬奇系統進行機器人手術具有多種益處,這可能對考慮在多專業環境中使用機器人的決策者有用。

The study scope focused on 30-day outcomes specific to oncology procedures that often require deep and narrow surgical access. It did not review oncologic outcomes.

該研究範圍側重於腫瘤學手術特有的30天結果,這些手術通常需要深度和狹窄的手術渠道。它沒有審查腫瘤學結果。

About Intuitive
Intuitive (NASDAQ:ISRG), headquartered in Sunnyvale, California, is a global leader in minimally invasive care and the pioneer of robotic surgery. Our technologies include the da Vinci surgical system and the Ion endoluminal system. By uniting advanced systems, progressive learning, and value-enhancing services, we help physicians and their teams optimize care delivery to support the best outcomes possible. At Intuitive, we envision a future of care that is less invasive and profoundly better, where disease is identified early and treated quickly, so that patients can get back to what matters most.

關於直覺
Intuitive(納斯達克股票代碼:ISRG)總部位於加利福尼亞州森尼維爾,是微創護理領域的全球領導者,也是機器人手術的先驅。我們的技術包括達芬奇手術系統和離子腔內系統。通過將先進的系統、漸進式學習和價值增強服務相結合,我們幫助醫生及其團隊優化護理服務,以支持儘可能好的療效。在Intuitive,我們設想未來的醫療服務侵入性更小,效果更好,可以及早發現疾病並快速治療,從而使患者能夠恢復最重要的狀態。

About da Vinci Surgical Systems
There are several models of the da Vinci Surgical System. The da Vinci surgical systems are designed to help surgeons perform minimally invasive surgery and offer surgeons high-definition 3D vision, a magnified view, and robotic and computer assistance. They use specialized instrumentation, including a miniaturized surgical camera and wristed instruments (i.e., scissors, scalpels, and forceps) that are designed to help with precise dissection and reconstruction deep inside the body.

關於達芬奇手術系統
達芬奇手術系統有幾種型號。達芬奇手術系統旨在幫助外科醫生進行微創手術,併爲外科醫生提供高清晰度三維視覺、放大視圖以及機器人和計算機協助。他們使用專門的儀器,包括微型手術攝像機和手腕器械(即剪刀、手術刀和鑷子),這些器械旨在幫助在體內進行精確的解剖和重建。

For more information, please visit the company's website at .

欲了解更多信息,請訪問該公司的網站。

Important Safety Information
Serious complications may occur in any surgery, including da Vinci surgery, up to and including death. Serious risks include, but are not limited to, injury to tissues and organs and conversion to other surgical techniques which could result in a longer operative time and/or increased complications. For summary of the risks associated with surgery refer to .

重要安全信息
任何手術,包括達芬奇手術,都可能出現嚴重的併發症,直至死亡。嚴重風險包括但不限於組織和器官受傷以及改用其他手術技術,這可能會導致手術時間延長和/或併發症增加。有關與手術相關的風險摘要,請參閱。

For product intended use and/or indications for use, risks, cautions, and warnings and full prescribing information, refer to the associated user manual(s) or visit .

有關產品預期用途和/或使用說明、風險、注意事項和警告以及完整的處方信息,請參閱相關的用戶手冊或訪問。

Individual outcomes may depend on a number of factors—including but not limited to—patient characteristics, disease characteristics, and/or surgeon experience.

個人預後可能取決於多種因素,包括但不限於患者特徵、疾病特徵和/或外科醫生經驗。

Contact Information
Peper Long, Intuitive
202-997-7373
peper.long@intusurg.com

聯繫信息
Peper Long,直觀
202-997-7373
peper.long@intusurg.com


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Source: Intuitive Surgical, Inc.

資料來源:直覺外科有限公司

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