Might 18, 2022 – A brand new surgical robotic system is “possible, secure, and efficient” for therapy of early-stage prostate most cancers, concludes an preliminary analysis in The Journal of Urology®, an Official Journal of the American Urological Affiliation (AUA). The journal is printed within the Lippincott portfolio by Wolters Kluwer.
The brand new system, known as the KangDuo Surgical Robotic-01, provides excessive accuracy and surgical success with low complication charges and a excessive consolation degree for the surgeon – and will present a less-costly different to present surgical robots. The research was led by Cheng Shen, Xuesong Li, and Liquin Zhou of the Division of Urology, Peking College First Hospital; Institute of Urology, Peking College; and Nationwide Urological Most cancers Middle, Beijing.
Preliminary expertise in 16 sufferers with localized prostate most cancers
The researchers analyzed their expertise utilizing the KangDuo system to carry out robot-assisted radical prostatectomy (RARP) in 16 males with localized prostate most cancers. Robotically assisted surgical procedure for prostate most cancers utilizing the groundbreaking da Vinci system has been out there for twenty years, with demonstrated benefits over standard open or laparoscopic surgical procedure.
“Nonetheless, the prices of robotic surgical procedure stay a priority and restrict its use,” the researchers write. Developed in China, the KangDuo system has proven promising ends in different varieties of operations.
The sufferers, median age 66 years, had localized cancers that had not unfold past the prostate gland. All procedures have been carried out by Prof. Shen, who beforehand had in depth expertise with prostatectomy utilizing the da Vinci surgical robotic. As he gained expertise, the surgeon’s median time spent behind the console of the KangDuo robotic system decreased from 102 minutes for the primary 4 instances to 75 minutes for the final 4.
“These preliminary outcomes confirmed that the [KangDuo] system is possible, secure, and efficient for administration of localized prostate most cancers,” the researchers write. All procedures have been efficiently accomplished, with no main issues requiring conversion to conventional open surgical procedure. Seventy-five p.c of sufferers had “clear” surgical margins, suggesting that the most cancers was fully eliminated by surgical procedure.
There have been no severe problems and no want for blood transfusions. Urinary incontinence is a possible complication after prostate most cancers. Within the new research, the continence charge was 87.5% (14 of 16 sufferers) at one month after catheter removing.
The KangDuo robotic system incorporates a number of essential options to optimize hand-eye coordination and permit for regular and adjustable neck posture. On ergonomic analysis, the surgeon reported a “excessive degree of consolation” utilizing the robotic surgeon, with “acceptable” ranges of psychological and bodily demand.
The preliminary expertise revealed some minor technical points – for instance, the KangDuo system introduces a foot-operated clutch, which required to further coaching time for surgeons who had been accustomed to the guide clutch of the da Vinci robotic system. Additional refinements are deliberate, together with a tactile suggestions system and the power to carry out long-distance operations utilizing 5G expertise.
The researchers spotlight the significance of ongoing improvement of recent robotic surgical procedure platforms. “The da Vinci robotic system has dominated the robotic surgical procedure marketplace for a comparatively lengthy interval, whereas the event of expertise requires diversification with extra innovation,” the researchers write. Estimated prices for analysis, improvement and manufacturing are about 25% to 30% of these for the da Vinci system.
Approval of the KangDuo system is anticipated quickly, first in Chinese language market and worldwide shortly thereafter. “Though the worth has not but been decided, the emergence of recent robotic surgical procedure programs lowers the price of robotic surgical procedure, which may gain advantage extra sufferers,” Prof. Shen and coauthors add. They emphasize the necessity for additional research, together with longer follow-up and comparability with RARP carried out utilizing the da Vinci system.
DOI: 10.1097/JU.0000000000002498
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About The Journal of Urology®
The Official Journal of the American Urological Affiliation (AUA), and probably the most broadly learn and extremely cited journal within the discipline, The Journal of Urology® brings strong protection of the clinically related content material wanted to remain on the forefront of the dynamic discipline of urology. This premier journal presents investigative research on essential areas of analysis and follow, survey articles offering transient editorial feedback on the perfect and most essential urology literature worldwide and practice-oriented stories on important scientific observations. The Journal of Urology® covers the extensive scope of urology, together with pediatric urology, urologic cancers, renal transplantation, male infertility, urinary tract stones, feminine urology and neurourology.
In regards to the American Urological Affiliation
Based in 1902 and headquartered close to Baltimore, Maryland, the American Urological Affiliation is a number one advocate for the specialty of urology, and has almost 24,000 members all through the world. The AUA is a premier urologic affiliation, offering invaluable help to the urologic group because it pursues its mission of fostering the best requirements of urologic care by means of schooling, analysis and the formulation of well being care coverage. To study extra in regards to the AUA go to: www.auanet.org
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