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Laparoendoscopic single-site (LESS) robot-assisted partial nephrectomy (RAPN) reduces postoperative wound pain without a rise in complication rates

DC FieldValueLanguage
dc.contributor.author한웅규-
dc.contributor.author홍성준-
dc.contributor.author김동욱-
dc.contributor.author나군호-
dc.contributor.author신태영-
dc.contributor.author임세이캣-
dc.contributor.author정병하-
dc.contributor.author크리스토스콤니노스-
dc.date.accessioned2015-01-06T17:30:45Z-
dc.date.available2015-01-06T17:30:45Z-
dc.date.issued2014-
dc.identifier.issn1464-4096-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100117-
dc.description.abstractOBJECTIVE: To compare long-term functional outcomes and pain scale scores of patients who underwent laparoendoscopic single-site (LESS)- robot-assisted partial nephrectomy (RAPN) to those who underwent conventional RAPN (C-RAPN), as LESS surgery is increasingly being adopted by urologists worldwide to reduce morbidities and scarring associated with surgical interventions. PATIENTS AND METHODS: In all, 167 consecutive patients who had RAPN were identified from our Institutional Review Board-approved computerised database between October 2006 to July 2012. Patients were stratified into two groups: 80 patients who underwent C-RAPN and 79 who underwent LESS-RAPN. RESULTS: The LESS-RAPN group had a longer warm ischaemia time [WIT, mean (sd) 26.5 (10.5) vs 19.8 (13.1) min; P = 0.001] and total operation time [TOT, mean (sd) 210.3 (83.4) vs 183.1 (76.1) min; P = 0.033] when compared with the C-RAPN group. While, the LESS-RAPN group and C-RAPN group were not significantly different for the number of patients with negative surgical margins [77 (96.2%) vs 73 (91.4%); P = 0.194), absolute change in postoperative renal function [mean (sd) -6.5 (16.7)% vs -7.6 (16.7)%; P = 0.738) and postoperative complications rate [12 (15.0%) vs 10 (12.6%); P = 0.279). Furthermore, the LESS-RAPN group had lower visual analogue pain scale (VAPS) scores at discharge [mean (sd) 2.1 (1.3) vs 1.7 (1.0); P = 0.048]. CONCLUSIONS: Despite a significantly longer WIT and TOT, the functional outcomes of LESS-RAPN were comparable to those of C-RAPN for tumours of similar mean sizes and complexities, without any detriments in oncological and complications outcomes. On discharge, patients who underwent LESS-RAPN also reported lower pain levels as one of the advantages of minimally invasive surgery. With the development of instrumentation specifically designed for single-site surgery, LESS could be more easily conducted in patients who are interested in improved quality of life outcomes.-
dc.description.statementOfResponsibilityopen-
dc.format.extent555~562-
dc.relation.isPartOfBJU INTERNATIONAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHCarcinoma/pathology-
dc.subject.MESHCarcinoma/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHKidney Neoplasms/pathology-
dc.subject.MESHKidney Neoplasms/surgery*-
dc.subject.MESHLaparoscopy*-
dc.subject.MESHLength of Stay-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNephrectomy/adverse effects-
dc.subject.MESHNephrectomy/methods*-
dc.subject.MESHOperative Time-
dc.subject.MESHPain, Postoperative/etiology-
dc.subject.MESHPain, Postoperative/prevention & control*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRobotics*-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHWarm Ischemia-
dc.titleLaparoendoscopic single-site (LESS) robot-assisted partial nephrectomy (RAPN) reduces postoperative wound pain without a rise in complication rates-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentYonsei Biomedical Research Center (연세의생명연구원)-
dc.contributor.googleauthorTae Young Shin-
dc.contributor.googleauthorSey Kiat Lim-
dc.contributor.googleauthorChristos Komninos-
dc.contributor.googleauthorDong Wook Kim-
dc.contributor.googleauthorWoong Kyu Han-
dc.contributor.googleauthorSung Jun Hong-
dc.contributor.googleauthorByung Ha Jung-
dc.contributor.googleauthorKoon Ho Rha-
dc.identifier.doi10.1111/bju.12783-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04308-
dc.contributor.localIdA04402-
dc.contributor.localIdA01227-
dc.contributor.localIdA02168-
dc.contributor.localIdA03371-
dc.contributor.localIdA03607-
dc.contributor.localIdA04235-
dc.contributor.localIdA00407-
dc.relation.journalcodeJ00340-
dc.identifier.eissn1464-410X-
dc.identifier.pmid24957902-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/bju.12783/abstract-
dc.subject.keywordlaparoendoscopic single-site (LESS)-
dc.subject.keywordpartial nephrectomy-
dc.subject.keywordpostoperative pain-
dc.subject.keywordrobotics-
dc.contributor.alternativeNameHan, Woong Kyu-
dc.contributor.alternativeNameHong, Sung Joon-
dc.contributor.alternativeNameKim, Dong Wook-
dc.contributor.alternativeNameRha, Koon Ho-
dc.contributor.alternativeNameShin, Tae Young-
dc.contributor.alternativeNameLim, Sey Kiat-
dc.contributor.alternativeNameChung, Byung Ha-
dc.contributor.alternativeNameKomninos, Christos-
dc.contributor.affiliatedAuthorHan, Woong Kyu-
dc.contributor.affiliatedAuthorHong, Sung Joon-
dc.contributor.affiliatedAuthorRha, Koon Ho-
dc.contributor.affiliatedAuthorShin, Tae Young-
dc.contributor.affiliatedAuthorLim, Sey Kiat-
dc.contributor.affiliatedAuthorChung, Byung Ha-
dc.contributor.affiliatedAuthorKomninos, Christos-
dc.contributor.affiliatedAuthorKim, Dong Wook-
dc.rights.accessRightsfree-
dc.citation.volume114-
dc.citation.number4-
dc.citation.startPage555-
dc.citation.endPage562-
dc.identifier.bibliographicCitationBJU INTERNATIONAL, Vol.114(4) : 555-562, 2014-
dc.identifier.rimsid50521-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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