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Initial experience of robotic nephroureterectomy: a hybrid-port technique

Authors
 Sung Yul Park  ;  Wooju Jeong  ;  Won Sik Ham  ;  Won Tae Kim  ;  Koon Ho Rha 
Citation
 BJU INTERNATIONAL, Vol.104(11) : 1718-1721, 2009 
Journal Title
 BJU INTERNATIONAL 
ISSN
 1464-4096 
Issue Date
2009
MeSH
Aged ; Carcinoma, Transitional Cell/surgery* ; Feasibility Studies ; Humans ; Middle Aged ; Nephrectomy/adverse effects ; Nephrectomy/methods* ; Robotics* ; Treatment Outcome ; Ureter/surgery* ; Urologic Neoplasms/surgery*
Keywords
robotics ; laparoscopy ; ureteric neoplasms
Abstract
OBJECTIVE: To report a new technique of robot-assisted laparoscopic nephroureterectomy (RANU) using a hybrid port, as RANU has recently become a minimally invasive treatment option for upper tract transitional cell carcinoma (TCC). PATIENTS AND METHODS: Eleven consecutive patients underwent RANU by one surgeon. The first six patients were repositioned after the nephrectomy, from flank to lithotomy position, and the robot was re-docked for excision of the distal ureter and bladder cuff. The last five patients were treated by a new RANU technique that did not require a change of position or movement of the patient cart. We analysed data obtained before, during and after RANU. RESULTS: The total operative duration was reduced by approximately 50 min in last five patients. There was no improvement in hospital stay or estimated blood loss. There were no transfusions and positive surgical margins in any patient. Maintaining the patient in a flank position allows gravity to displace the bowel away from the distal ureter, not only shortening the surgery but also improving exposure of the distal ureterectomy and closure of the bladder cuff. CONCLUSIONS: The new RANU technique is a safe and feasible treatment option for upper tract TCC
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1464-410X.2009.08671.x/abstract
DOI
10.1111/j.1464-410X.2009.08671.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Tae(김원태)
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Jeong, Woo Ju(정우주)
Ham, Won Sik(함원식) ORCID logo https://orcid.org/0000-0003-2246-8838
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105594
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