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로봇 보조 복강경 부분신절제술

Other Titles
 Robot-assisted Laparoscopic Partial Nephrectomy 
Authors
 박성열  ;  김형준  ;  서주완  ;  조강수  ;  함원식  ;  나군호 
Citation
 KOREAN JOURNAL OF UROLOGY, Vol.49(5) : 387-391, 2008 
Journal Title
 KOREAN JOURNAL OF UROLOGY 
ISSN
 0494-4747 
Issue Date
2008
Keywords
Robotics ; Nephrectomy ; Kidney neoplasms
Abstract
PURPOSE: Laparoscopic partial nephrectomy is a treatment option for small renal masses. However, such time-consuming techniques such as tumor excision, hemostasis and intracoporeal suturing are still challenging procedures even for experienced laparoscopists. Incorporation of a robotic system would facilitate tumor excision, hemostasis and intracoporeal suturing. Herein, we review our technique and the short term outcomes for robot-assisted laparoscopic partial nephrectomy(RLPN). MATERIALS and METHODS: Eleven patients underwent RLPN for small renal masses. RLPN were performed with the da Vinci(R) robot system(Intuitive Surgical, Sunnyvale, USA) with three robot arms. In 7 cases, the renal hilum was clamped. Tumor excision and intracorporeal suturing were performed entirely with the robotic system. The specimen was extracted through the extended umbilical port incision. RESULTS: The mean tumor diameter was 2.5+/-1.5cm. The mean operative time was 179.5+/-49.4 minutes and the mean estimated blood loss was 354.5+/-440.7ml. The mean warm ischemia time was 30.4+/-5.9 minutes for 7 patients. There were no major complications. The surgical pathology showed clear cell type renal cell carcinoma in 7, papillary type renal cell carcinoma in 1, angiomyolipoma in 2 and lipoma in 1. There were no positive surgical margins. The mean hospital stay was 4.2+/-1.3 days. No recurrence had been observed after 3 to 18 months of follow-up. CONCLUSIONS: We were able to verify the feasibility and safety of using a RLPN in the management of small renal masses. Longer follow-up data and larger prospective studies are necessary to confirm these results.
Files in This Item:
T200800338.pdf Download
DOI
10.4111/kju.2008.49.5.387
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Park, Sung Yul(박성열)
Cho, Kang Su(조강수) ORCID logo https://orcid.org/0000-0002-3500-8833
Ham, Won Sik(함원식) ORCID logo https://orcid.org/0000-0003-2246-8838
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106494
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