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The feasibility of solo-surgeon living donor nephrectomy: initial experience using video-assisted minilaparotomy surgery.

DC Field Value Language
dc.contributor.author정우주-
dc.contributor.author한웅규-
dc.contributor.author이용승-
dc.contributor.author전황균-
dc.contributor.author양승철-
dc.contributor.author이승렬-
dc.date.accessioned2015-04-23T17:49:33Z-
dc.date.available2015-04-23T17:49:33Z-
dc.date.issued2010-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/103206-
dc.description.abstractBACKGROUND: Today, many kinds of surgery are being conducted without human assistants. Living donor nephrectomy (LDN) using video-assisted minilaparotomy surgery (VAM) has been performed by solo-surgeon using Unitrac® (Aesculap Surgical Instrument, Germany). We examined the results from VAM-solo-surgeon living donor nephrectomy (SLDN) and conventional VAM-human-assisted living donor nephrectomy (HLDN). METHODS: Between July 2007 and April 2008, 82 cases of VAM-LDN were performed by two surgeons. From these cases, we randomly assigned 35 cases to undergo solo-surgery (group I) and the other 47 cases to undergo surgery with one human assistant (group II). All VAM-LDN procedures were performed in the same manner. Only the roles of a first assistant were substituted by the Unitrac® in group I. We compared the perioperative and postoperative data, including operative time, estimated blood loss, and hospital stay, between the two groups. We also investigated cases that developed complications. RESULTS: There were no significant differences in the patient demographic data between the two groups (P > 0.05). The mean operative time was 201.9 ± 32.9 min in group I and 202.4 ± 48.3 min in group II (P = 0.954), whereas mean blood loss was 209.7 ± 167.3 ml in group I and 179.6 ± 87.8 ml in group II (P = 0.294). Postoperative hospital stay were 5.4 ± 1.1 days in group I and 5.5 ± 1.6 days in group II (P = 0.813). The incidence of perioperative complications was not significantly different between the two groups. CONCLUSIONS: Our study demonstrates that VAM-SLDN can be performed safely, is economically beneficial, and is comparable to VAM-HLDN in terms of postoperative outcomes.-
dc.description.statementOfResponsibilityopen-
dc.format.extent2755~2759-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHKidney Transplantation-
dc.subject.MESHLaparotomy*/instrumentation-
dc.subject.MESHLiving Donors*-
dc.subject.MESHMale-
dc.subject.MESHNephrectomy*/instrumentation-
dc.subject.MESHNephrectomy*/methods-
dc.subject.MESHTissue and Organ Harvesting/instrumentation-
dc.subject.MESHTissue and Organ Harvesting/methods*-
dc.subject.MESHVideo-Assisted Surgery*-
dc.titleThe feasibility of solo-surgeon living donor nephrectomy: initial experience using video-assisted minilaparotomy surgery.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨기과학)-
dc.contributor.googleauthorYong Seung Lee-
dc.contributor.googleauthorHwang Gyun Jeon-
dc.contributor.googleauthorSeung Ryeol Lee-
dc.contributor.googleauthorWoo Ju Jeong-
dc.contributor.googleauthorSeung Choul Yang-
dc.contributor.googleauthorWoong Kyu Han-
dc.identifier.doi10.1007/s00464-010-1040-z-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03669-
dc.contributor.localIdA04308-
dc.contributor.localIdA02980-
dc.contributor.localIdA03567-
dc.contributor.localIdA02294-
dc.contributor.localIdA02915-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid20383533-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00464-010-1040-z-
dc.subject.keywordLiving donor nephrectomy-
dc.subject.keywordSolo-surgery-
dc.subject.keywordKidney transplantation-
dc.contributor.alternativeNameJeong, Woo Ju-
dc.contributor.alternativeNameHan, Woong Kyu-
dc.contributor.alternativeNameLee, Yong Seung-
dc.contributor.alternativeNameJeon, Hwang Gyun-
dc.contributor.alternativeNameYang, Seung Choul-
dc.contributor.alternativeNameLee, Seung Ryeol-
dc.contributor.affiliatedAuthorJeong, Woo Ju-
dc.contributor.affiliatedAuthorHan, Woong Kyu-
dc.contributor.affiliatedAuthorLee, Yong Seung-
dc.contributor.affiliatedAuthorJeon, Hwang Gyun-
dc.contributor.affiliatedAuthorYang, Seung Choul-
dc.contributor.affiliatedAuthorLee, Seung Ryeol-
dc.citation.volume24-
dc.citation.number11-
dc.citation.startPage2755-
dc.citation.endPage2759-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.24(11) : 2755-2759, 2010-
dc.identifier.rimsid35766-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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