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Da Vinci Xi and Si platforms have equivalent perioperative outcomes during robot-assisted partial nephrectomy: preliminary experience

Journal of Robotic Surgery volume 11, pages 53–61 (2017)Cite this article

Abstract

The aims of this study were to compare the perioperative outcomes of da Vinci Xi to Si during robotic-assisted partial nephrectomy (RAPN) and to discuss the feasibility of our novel port placement scheme for the da Vinci Xi platform, to overcome the existing kinetic and technical difficulties we faced with the linear port placement in patients with a small body habitus. A retrospective data analysis of patients who underwent RPN using da Vinci Xi (n = 18) was carried out. The outcomes of the Xi group were compared with the Si group (n = 18) selected using a case-matched methodology. For da Vinci Xi, we applied the universal linear port placement in 12 patients and our modified port placement in the remaining 6 patients. The Xi group had a shorter mean docking time of 17.8 ± 2.6 min compared to the Si group of 20.5 ± 2.1 min (p = 0.002); otherwise, no significant difference was present with regard to the remaining perioperative variables (p > 0.05). The modified Xi port placement had a shorter mean console time of 70.8 ± 9.7 min compared to the universal linear port placement of 89.3 ± 17.2 min (p = 0.03). Moreover, it provided a broader field of vision with excellent robotic arms movement, minimizing collisions and allowing an easier and comfortable surgical assist. Da Vinci Xi appears to be feasible and safe during RPN with similar outcomes to Si. The novel Xi port placement makes surgery easier in patients with low BMI.

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Acknowledgments

We acknowledge Mr. Trenton Gee Hong Lum for his precious role in English grammar revision and correction of the manuscript.

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Affiliations

  1. Department of Urology, Urological Science Institute, Severance Hospital, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Republic of Korea

    Ali Abdel Raheem, Abulhasan Sheikh, Atalla Alatawi, Ibrahim Alabdulaali, Woong Kyu Han, Young Deuk Choi & Koon Ho Rha

  2. Department of Urology, Tanta University Medical School, Tanta, Egypt

    Ali Abdel Raheem

  3. Department of Urology, CHA Seoul Station Medical Center, CHA University Medical School, Seoul, Republic of Korea

    Dae Keun Kim

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  1. Ali Abdel Raheem
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  2. Abulhasan Sheikh
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  3. Dae Keun Kim
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  4. Atalla Alatawi
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  5. Ibrahim Alabdulaali
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  6. Woong Kyu Han
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  7. Young Deuk Choi
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  8. Koon Ho Rha
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Correspondence to Koon Ho Rha.

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Informed consent

Informed consent was obtained from all patients for being included in the study.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study was done in accordance with the Helsinki Declaration and national regulations. The study was approved by our institutional review board (IBR No.: 2014-0090-001).

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Abdel Raheem, A., Sheikh, A., Kim, D.K. et al. Da Vinci Xi and Si platforms have equivalent perioperative outcomes during robot-assisted partial nephrectomy: preliminary experience. J Robotic Surg 11, 53–61 (2017). https://doi.org/10.1007/s11701-016-0612-x

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  • DOI: https://doi.org/10.1007/s11701-016-0612-x

Keywords

  • Da Vinci Xi
  • Partial nephrectomy
  • Port placement
  • Robotic surgery and renal tumor