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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

发表于《外科年鉴》的Meta分析显示,与腹腔镜手术和开放手术相比,达芬奇手术在七种肿瘤手术中的好处。
直觉外科公司 ·  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项研究,包括随机研究、前瞻性研究和数据库研究

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

加利福尼亚州森尼维尔,2024 年 12 月 5 日(环球新闻专线)--(纳斯达克股票代码: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.

经过同行评审的《外科年鉴》发表了对七种肿瘤外科手术的30天手术结果的荟萃分析,比较了机器人、腹腔镜和开放式手术方法。该研究涵盖了12年的时间框架,分析了来自22个国家的230项研究:34项随机对照试验、74项前瞻性研究和122项数据库审查。每种手术方法代表超过一百万例手术。

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.

这项由Intuitive和麻萨诸塞州综合医院的科学家进行的荟萃分析表明,与腹腔镜检查和开腹手术相比,使用Intuitive的达芬奇系统进行机器人手术具有多种益处。

"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执行副总裁兼首席医学官Myriam Curet医学博士说:“使用达芬奇进行的机器人手术显示转化率更低,失血量更少,输血次数更少,再入院和再手术更少,30天后的住院时间也更短。”

"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."

库雷特说:“《外科年鉴》的编辑在接受这项研究之前对这项研究进行了彻底的审查和同行评审。”“经过数十年的机器人手术,我们看到的科学数据质量凸显了达芬奇机器人方法在改善外科护理方面的持续价值。”

Notable study results included:

值得注意的研究结果包括:

  • 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.
  • 与腹腔镜相比,达芬奇机器人病例转化为开腹手术的可能性降低了56%。
  • 与腹腔镜手术相比,达芬奇机器人病例的失血量更少。
  • 与腹腔镜检查相比,达芬奇机器人病例需要输血的可能性降低了21%,与开放式相比,需要输血的可能性降低了75%。
  • 与腹腔镜检查相比,达芬奇病例出现30天后并发症的可能性降低了10%;与开放性相比,达芬奇病例出现后30天并发症的可能性降低了44%。
  • 与腹腔镜检查相比,达芬奇病例的住院时间可节省半天,与开诊相比,可节省1.9天。
  • 达芬奇病例的手术时间比腹腔镜检查长17.7分钟,比开腹手术时间长40.9分钟。

"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总医院结肠和直肠外科主任罗科·里恰尔迪说:“我们的研究中提供的数据描述了机器人技术在随机对照试验的对照临床环境和基于人群的研究的'现实临床世界'中的价值。”

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

“归根结底,通过机器人技术证明基于人口的增长使我们能够确定机器人手术对可能需要手术的普通人的价值。”

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.

传统的微创手术具有许多好处,但存在一些技术局限性——尤其是视力和深度感知质量较低、摄像机不稳定、由于手持器械笔直而僵硬导致的活动范围和灵活性有限,并且可能会给外科医生造成严重的身体损失。

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.

达芬奇手术系统中引入的直观技术通过先进的3DHD视觉、手腕设备和更高的精度帮助外科医生克服了许多技术限制,尤其是在胸部、腹部和骨盆等身体深部、有限或狭窄的区域。

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.

已经有许多研究比较了机器人、腹腔镜和开腹手术的围手术期结果,但这些研究侧重于个别手术,从而进行了针对具体手术的评估。

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《外科年鉴》中的研究着眼于过去12年内发表的随机对照试验、前瞻性队列和数据库研究,它表明,与腹腔镜和开腹手术相比,使用达芬奇系统进行机器人手术具有多种益处,这可能对考虑在多专业环境中使用机器人的决策者有用。

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.

该研究范围侧重于肿瘤学手术特有的30天结果,这些手术通常需要深度和狭窄的手术渠道。它没有审查肿瘤学结果。

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.

关于直觉
Intuitive(纳斯达克股票代码:ISRG)总部位于加利福尼亚州森尼维尔,是微创护理领域的全球领导者,也是机器人手术的先驱。我们的技术包括达芬奇手术系统和离子腔内系统。通过将先进的系统、渐进式学习和价值增强服务相结合,我们帮助医生及其团队优化护理服务,以支持尽可能好的疗效。在Intuitive,我们设想未来的医疗服务侵入性更小,效果更好,可以及早发现疾病并快速治疗,从而使患者能够恢复最重要的状态。

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.

关于达芬奇手术系统
达芬奇手术系统有几种型号。达芬奇手术系统旨在帮助外科医生进行微创手术,并为外科医生提供高清晰度三维视觉、放大视图以及机器人和计算机协助。他们使用专门的仪器,包括微型手术摄像机和手腕器械(即剪刀、手术刀和镊子),这些器械旨在帮助在体内进行精确的解剖和重建。

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

欲了解更多信息,请访问该公司的网站。

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
任何手术,包括达芬奇手术,都可能出现严重的并发症,直至死亡。严重风险包括但不限于组织和器官受伤以及改用其他手术技术,这可能会导致手术时间延长和/或并发症增加。有关与手术相关的风险摘要,请参阅。

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 .

有关产品预期用途和/或使用说明、风险、注意事项和警告以及完整的处方信息,请参阅相关的用户手册或访问。

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

个人预后可能取决于多种因素,包括但不限于患者特征、疾病特征和/或外科医生经验。

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

联系信息
Peper Long,直观
202-997-7373
peper.long@intusurg.com


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Source: Intuitive Surgical, Inc.

资料来源:直觉外科有限公司

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