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Cited 13 times in

로봇 보조 복강경 전립선적출술 : 200례의 임상경험

Other Titles
 Robot-assisted Laparoscopic Radical Prostatectomy: Clinical Experience of 200 Cases 
Authors
 박성열  ;  함원식  ;  최영득  ;  나군호 
Citation
 Korean Journal of Urology (대한비뇨기과학회지), Vol.49(3) : 215-220, 2008 
Journal Title
 Korean Journal of Urology (대한비뇨기과학회지) 
ISSN
 2005-6737 
Issue Date
2008
Keywords
Robotics ; Prostatectomy ; Prostate neoplasms
Abstract
PURPOSE: We report the initial functional and surgical results of 200 robot-assisted laparoscopic radical prostatectomies performed at our hospital, and evaluate the efficacy and safety of this surgery. MATERIALS AND METHODS: Between July 2005 and July 2007, 200 patients underwent robot-assisted laparoscopic radical prostatectomy(RLRP). All cases were performed using the four-arm da Vinci(TM) robot system (Intuitive Surgical, Mountain View, CA USA). RLRP was performed by two surgeons. All operations were approached transperitoneally. We studied the perioperative parameters and early surgical outcome retrospectively. RESULTS: The mean age at surgery was 64+/-8.2 years. The median preoperative prostate-specific antigen level was 8.24 ng/ml(range, 1.37-726.60 ng/ml) and the mean preoperative Gleason score was 6.5(range, 4-9). The median total operative time was 215 min(range, 140-418 min) and the median estimated blood loss was 300ml(range, 50-2,700ml). A positive surgical margin was found in 64 patients(32.0%). A normal diet was started 2.3 days after surgery and the median hospital stay was 5 days(range, 2-26 days). Among 71 patients with over 6 months follow-up, 69 patients (97.2%) were completely continent at 6 months after surgery and 29 patients(40.8%) were completely continent at catheter removal. In 58 patients who were younger than 65 years, potent preoperatively, and received a nerve sparing procedure, 31 patients(53.4%) were potent at 6 months after surgery. CONCLUSIONS:We were able to verify the feasibility and safety of RLRP in the management of prostate cancer. A longer follow-up of the data and larger prospective studies are necessary to confirm these results
Files in This Item:
T200800357.pdf Download
DOI
10.4111/kju.2008.49.3.215
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)
Choi, Young Deuk(최영득) ORCID logo https://orcid.org/0000-0002-8545-5797
Ham, Won Sik(함원식) ORCID logo https://orcid.org/0000-0003-2246-8838
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106514
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