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Initial experience with 50 laparoendoscopic single site surgeries using a homemade, single port device at a single center
DC Field | Value | Language |
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dc.contributor.author | 정우주 | - |
dc.contributor.author | 한웅규 | - |
dc.contributor.author | 함원식 | - |
dc.contributor.author | 나군호 | - |
dc.contributor.author | 오철규 | - |
dc.contributor.author | 이안로렌조 | - |
dc.date.accessioned | 2015-04-23T16:33:32Z | - |
dc.date.available | 2015-04-23T16:33:32Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 0022-5347 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/100803 | - |
dc.description.abstract | PURPOSE: We report our technique of and initial experience with 50 patients who underwent laparoendoscopic single site surgery using a homemade single port device at a single institution. MATERIALS AND METHODS: Between December 2008 and August 2009 we performed 50 laparoendoscopic single site surgeries using the Alexis wound retractor, which was inserted at the umbilical incision. A homemade single port device was made by fixing a size 7 1/2 surgical glove to the retractor outer ring and securing the glove fingers to the end of 3 or 4 trocars with a tie and a rubber band. A prospective study was performed in 50 patients to evaluate outcomes. RESULTS: Of 50 patients 34 underwent conventional laparoendoscopic single site surgery, including radical and simple nephrectomy, and cyst decortication in 8 each, nephroureterectomy in 3, partial nephrectomy and adrenalectomy in 2 each, and partial cystectomy, ureterectomy and ureterolithotomy in 1 each, while 16 underwent robotic laparoendoscopic single site surgery, including partial nephrectomy in 11, nephroureterectomy in 3, and simple and radical nephrectomy in 1 each. Mean patient age was 52 years, mean body mass index was 23.4 kg/m(2), mean operative time was 201 minutes and mean estimated blood loss was 201 ml. Four intraoperative complications occurred, including 2 bowel serosal tears, diaphragm partial tearing and conversion to open radical nephrectomy. One case of postoperative bleeding was managed by transfusion. Surgical margins were negative in the 13 patients who underwent partial nephrectomy. Mean hospital stay was 4.5 days (range 1 to 16). CONCLUSIONS: Our homemade single port device is cost-effective, provides adequate range of motion and is more flexible in port placement for laparoendoscopic single site surgery than the current multichannel port | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF UROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Equipment Design | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intraoperative Complications | - |
dc.subject.MESH | Korea | - |
dc.subject.MESH | Laparoscopes* | - |
dc.subject.MESH | Laparoscopy/methods* | - |
dc.subject.MESH | Length of Stay/statistics & numerical data | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Postoperative Complications | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Urologic Surgical Procedures/instrumentation* | - |
dc.title | Initial experience with 50 laparoendoscopic single site surgeries using a homemade, single port device at a single center | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨기과학) | - |
dc.contributor.googleauthor | Hwang Gyun Jeon | - |
dc.contributor.googleauthor | Wooju Jeong | - |
dc.contributor.googleauthor | Cheol Kyu Oh | - |
dc.contributor.googleauthor | Enrique Ian S. Lorenzo | - |
dc.contributor.googleauthor | Won Sik Ham | - |
dc.contributor.googleauthor | Koon Ho Rha | - |
dc.contributor.googleauthor | Woong Kyu Han | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03567 | - |
dc.contributor.localId | A03669 | - |
dc.contributor.localId | A04308 | - |
dc.contributor.localId | A04337 | - |
dc.contributor.localId | A01227 | - |
dc.contributor.localId | A02408 | - |
dc.contributor.localId | A02946 | - |
dc.relation.journalcode | J01921 | - |
dc.identifier.eissn | 1527-3792 | - |
dc.identifier.pmid | 20303108 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0022534710000248 | - |
dc.subject.keyword | laparoscopy | - |
dc.subject.keyword | instrumentation | - |
dc.subject.keyword | gloves | - |
dc.subject.keyword | surgical | - |
dc.subject.keyword | kidney | - |
dc.subject.keyword | ureter | - |
dc.contributor.alternativeName | Jeong, Woo Ju | - |
dc.contributor.alternativeName | Han, Woong Kyu | - |
dc.contributor.alternativeName | Ham, Won Sik | - |
dc.contributor.alternativeName | Rha, Koon Ho | - |
dc.contributor.alternativeName | Oh, Cheol Kyu | - |
dc.contributor.alternativeName | Lorenzo, Enrique Ian | - |
dc.contributor.affiliatedAuthor | Jeong, Woo Ju | - |
dc.contributor.affiliatedAuthor | Han, Woong Kyu | - |
dc.contributor.affiliatedAuthor | Ham, Won Sik | - |
dc.contributor.affiliatedAuthor | Rha, Koon Ho | - |
dc.contributor.affiliatedAuthor | Oh, Cheol Kyu | - |
dc.contributor.affiliatedAuthor | Lorenzo, Enrique Ian | - |
dc.citation.volume | 183 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1866 | - |
dc.citation.endPage | 1871 | - |
dc.identifier.bibliographicCitation | JOURNAL OF UROLOGY, Vol.183(5) : 1866-1871, 2010 | - |
dc.identifier.rimsid | 37833 | - |
dc.type.rims | ART | - |
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