Mp04-20 the Impact of a Live Bedside Video Stream During Robot-Assisted Surgery on Interruptions

Abstract

P[0.000], intraoperative incision length [(2.7AE0.3)cm vs (12.8AE2.4)cm, P[0.000], and postoperative intestinal function recovery time [(36.0AE13.9)h vs (50.2AE18.4)h, P[0.001] between the two groups were found. Significant differences in VAS score on the first postoperative day [(2.1AE1.0) vs (3.8AE1.2), P[0.001], VAS score on the third day after surgery [(1.0AE1.0) vs (1.8AE1.2)，P[0.009], and postoperative analgesia time [(22.8AE14.6)h vs (37.2AE14.5)h，P[0.000] between the two groups were also found. There were significant differences in postoperative drainage tube indwelling time [(4.4AE1.5)d vs (5.9AE2.4)d, P[0.003],and postoperative hospital stay [(9.1AE2.0)d vs (11.0AE3.1)d, P[0.003] between the two groups. Complications occurred in 2 patients in the SA-LESS group, all of which were anastomotic leakage. In the open group, 9 patients had complications after operation. Among them, 4 patients had anastomotic leakage and 5 patients developed a wound infection. Significant difference was found in complication rates (x 2 [4.885, P[0.027). The total PSAQ of the SA-LESS group was lower than that of the open group at 3 months, 6 months and 1 year [(61.9AE8.7) vs (85.9AE8.3), P[0.000；(48.2AE6.4) vs (74.0AE8.2)，P[0.000；(37.5AE4.8) vs (64.9AE6.3), P[0.000]. The SA-LESS group was followed up for 24-90 months, and the open group was followed up for 28-91 months. All cases were followed up for B-ultrasound and IVU, and postoperative hydronephrosis was improved to varying degrees. All cases were followed up for cystoscopy and no ureteral reflux was seen.CONCLUSIONS: SA-LESS ureterovesical reimplantation using insertion method, can result in small trauma, rapid postoperative recovery, less complications, and better cosmetic results with stable, long-term postoperative effect, which is worthy of application in clinic.