A Controlled Study of Improved Javelin Side Recumbent Position and Conventional Postural Placement
Condition: Nurse-Patient Relations
Study type: Observational

Summary: 
      The Da Vinci surgical robot Xi system assisted laparoscopic pyeloureteroplasty uses the
      improved javelin side lying position, which can alleviate the unsafe factors of falling from
      the bed caused by the conventional posture, shorten the time of placing the posture5, prevent
      the possible pressure injuries and intraoperative complications caused by the conventional
      posture surgery, and the operation is more simple and convenient. The mechanical arm of the
      Da Vinci robot will not have the potential risk factors of crushing the head, face and trunk
      of the patient during the entire operation process, It is safe and reliable, making the whole
      process of positioning convenient and time-saving. It can not only improve the connection
      efficiency of each operation, but also ease the work intensity of nurses and reduce the
      incidence of robot secondary berths. Operator satisfaction. It is safe and reliable to
      achieve good results, improve the operation safety, effectively avoid intraoperative and
      postoperative complications, and ensure the operation safety of patients, which is worth
      promoting.
    

Detailed description: 
      To discuss the comparative study of different localization methods in robot-assisted
      laparoscopic epirenoplasty.

      From December 2021 to January 2022, the researchers selected 60 participants to undergo
      laparoscopic pyroplasty assisted by the Da Vinci Robotic Xi system. Depending on the order of
      the surgeries, the researchers randomly assigned them， the subjects into three groups:
      control group A, control group B and observation group C, each with 20 cases. In control
      group A, we adopted the conventional lateral position, control group B adopted the lumbar
      bridge cushion lateral position, and observation group C adopted the modified javelin lateral
      position, The operation time, secondary berth incidence, operation time, intraoperative blood
      loss and the incidence of intraoperative complications were compared among the three groups.
    

Intervention name(s): To explore the comparative study of different positioning methods in robot assisted laparoscopic pyeloplasty.; To discuss the comparative study of different position placement methods of renal pelvis ureteroplasty on the Da Vinci robotic Xi platform
Intervention type(s): Procedure; Device
Intervention description(s): The incidence of surgical positioning time and secondary berths, surgical time, intraoperative blood loss and intraoperative complications were compared among the three groups.; To discuss the comparative study of different position placement methods of renal pelvis ureteroplasty on the Da Vinci robotic Xi platform
Observational model: Cohort
Time perspective: Retrospective
Sampling method: Probability Sample
Study population: 
        From December 2021 to January 2022, 60 patients with da Vinci robotic Xi system assisted
        laparoscopic pyelonegal ureteroplasty surgery were selected in our hospital, and according
        to the order of surgery, we randomly divided the study objects into three groups, namely
        control group A, control group B and observation group C 20 cases each, control group A We
        took the conventional lateral lying position, control group B adopted the lumbar bridge pad
        high lateral recumbent position, observation group C adopted the design to improve the
        javelin side lying position, compared the three groups of surgical positioning time,
        secondary berth incidence, and surgical time 3. Intraoperative blood loss and incidence of
        intraoperative complications.
      
Keywords: ureteropelvic junction obstruction