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로봇 보조 복강경 방광적출술 및 회장도관술

Other Titles
 Robot-assisted Laparoscopic Radical Cystectomy with Ileal Conduit Urinary Diversion 
Authors
 박성열  ;  조강수  ;  박경기  ;  박성진  ;  함원식  ;  나군호 
Citation
 KOREAN JOURNAL OF UROLOGY, Vol.49(6) : 506-509, 2008 
Journal Title
 KOREAN JOURNAL OF UROLOGY 
ISSN
 0494-4747 
Issue Date
2008
Keywords
Robotics ; Cystectomy ; Urinary bladder neoplasms
Abstract
PURPOSE: In this study, we detail our initial experience with robot-assisted laparoscopic radical cystectomy(RLRC) with ileal conduit urinary diversion(ICUD) and describe the stepwise surgical procedure. MATERIALS AND METHODS: Four men underwent RLRC with extracorporeal ICUD for muscle invasive bladder cancer. RLRC was performed by a single surgeon using the da Vinci(TM) robot system(Intuitive Surgical, Sunnyvale, USA) with four robot arms. The surgical specimen was extracted through the sub-umbilical incision, and ICUD was also achieved through the sub-umbilical incision by extracorporeal technique. RESULTS: The mean operative time was 355+/-49.8 minutes, and the mean estimated blood loss was 550+/-57.7ml. The mean hospital stay was 12+/-2.9 days. There were no major complications. On surgical pathology, one patient had pTis, one patient had pT1, and two patients had pT3 transitional cell carcinoma of the bladder. There were no positive surgical margins or lymph nodes. The mean number of dissected lymph nodes was 17+/-4.6(range: 12-23). CONCLUSIONS: Despite limited experience, RLRC is a feasible procedure with minimal blood loss, shorter hospital stay, and may be an alternative to the open technique
Files in This Item:
T200800342.pdf Download
DOI
10.4111/kju.2008.49.6.506
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/22282913/106498
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