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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-隨機、前瞻性和數據庫研究混合而成

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

加州聖尼古拉斯,2024年12月05日(GLOBE NEWSWIRE)--(納斯達克:愛文思控股)

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.

同行評議的《外科學年鑑》發表了一項關於7種腫瘤外科手術程序的30天手術結果的薈萃分析,比較了機器人、腹腔鏡和開放式外科手術方法。該研究涵蓋了12年的時間跨度,分析了來自22個國家的230項研究:34項隨機對照試驗,74項前瞻性研究以及122項數據庫評論。每種手術方法都代表了100多萬例手術。

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.

這項薈萃分析由直覺公司和馬薩諸塞州綜合醫院的科學家進行,與腔鏡和開放手術相比,展示了機器人手術使用直覺的達芬奇系統的多重優勢。

"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.

「達芬奇機器人手術顯示,相對具有更少的轉換、更少的失血、更少的輸血、更少的再入院和再手術,以及30天后較短的住院時間,」 直覺公司執行副總裁兼首席醫療官Myriam Curet博士表示。

"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."

「《外科年鑑》的編輯在接受本研究之前進行了徹底審查和同行評審,」 Curet表示。「在經歷幾十年的機器人手術後,我們看到的科學數據質量強調了達芬奇機器人手術方法繼續爲改善外科護理帶來的價值。」

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.
  • 相對於腹腔鏡手術,達芬奇機器人病例轉換爲開放手術的可能性降低了56%。
  • 與開放手術相比,達芬奇機器人病例失血較少,與腹腔鏡手術失血相當。
  • 達芬奇機器人開多病例需要輸血的可能性比腹腔鏡手術低21%,比開放手術低75%。
  • 達芬奇病例發生術後30天併發症的可能性比腹腔鏡手術低10%,比開放手術低44%。
  • 達芬奇病例住院時間比腹腔鏡手術縮短半天,比開放手術縮短1.9天。
  • 達芬奇病例的手術時間比腹腔鏡手術長17.7分鐘,比開放手術長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.

「我們研究中呈現的數據描述了機器人在隨機對照試驗的受控臨床環境和基於人群的研究中的價值,」馬薩諸塞州總醫院結腸和直腸外科主任、本研究的首席作者MD,MPH,Rocco Ricciardi表示。

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

「最終,通過展示機器人技術在人群研究中的收益,我們能夠判斷需要進行手術的普通人群獲益價值。」

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.

傳統微創手術提供許多好處,但存在一些技術限制,尤其是視覺和深度感知質量較低,攝像頭不穩定,運動範圍受限以及由於直的剛手持儀器而導致的靈活性不足,而且對外科醫生的身體影響嚴重。

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.

直覺技術引入了達芬奇手術系統,通過先進的3DHD視覺、腕部儀器和更高的精確度,特別是在肺部、腹部和盆腔等身體深處、有限或狹窄區域,幫助外科醫生克服許多這些技術限制。

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、腹腔鏡和開放手術之間的圍手術期結果,但它們專注於單個程序,導致了程序特定的評估。

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.

直覺的研究發表在《外科年鑑》上,研究了近12年內發表的隨機對照試驗、前瞻性隊列和數據庫研究,顯示了使用達芬奇系統進行機器人手術相比腹腔鏡和開放手術具有多種好處,這對於正在考慮在多專業設置中使用機器人技術的決策者可能是有用的。

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.

該研究範圍側重於與常需進行深度狹窄手術的腫瘤學程序相關的30天結果。它未審查腫瘤學結果。

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.

關於直觀
納斯達克:愛文思控股(Intuitive)總部位於加州聖尼瓦爾,是微創護理的全球領導者,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Ion內膜系統。通過整合先進系統、漸進式學習和增值服務,我們幫助醫生及其團隊優化護理交付,以支持可能的最佳結果。在愛文思控股,我們設想一個更少侵入性且顯著更好的護理未來,早期發現疾病並快速治療,使患者能夠儘快回到最重要的事情。

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,並提供高清晰度3D視野、放大視野以及機器人和計算機輔助。它們使用專門的儀器,包括微型外科攝像機和可旋轉的手術器械(如剪刀、手術刀和鑷子),旨在幫助進行身體深處的精確解剖和重建。

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

如需更多信息,請訪問公司網站。

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
任何手術中都可能發生嚴重併發症,包括達芬奇手術,甚至死亡。嚴重風險包括但不限於損傷組織和器官,轉換爲其他外科技術可能導致手術時間延長和/或併發症增加。有關手術風險摘要,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/或使用指示、風險、注意事項、警告和完整處方信息,請參閱相關用戶手冊或訪問 。

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

個體結果可能取決於多種因素,包括但不限於患者特徵、疾病特徵和/或外科醫師經驗。

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

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


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Source: Intuitive Surgical, Inc.

來源:Intuitive Surgical,Inc.

譯文內容由第三人軟體翻譯。


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