Cited 10 times in
Single-Site Robotic Cholecystectomy: Reverse-Port Technique
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 강창무 | - |
dc.contributor.author | 이성환 | - |
dc.contributor.author | 이우정 | - |
dc.contributor.author | 정명재 | - |
dc.date.accessioned | 2016-02-04T12:03:20Z | - |
dc.date.available | 2016-02-04T12:03:20Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0025-7974 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/141790 | - |
dc.description.abstract | This study aims to introduce an alternative technique for effective single-site robotic cholecystectomy (SSRC) using a reverse port.Proper exposure of Calot's triangle is critical for safe laparoscopic cholecystectomy. Current robotic surgical systems are useful for single-site cholecystectomy. However, in exposing Calot's triangle, the gallbladder is usually retracted in a medial and upward direction, resulting in a narrow triangle. This intraoperative view is a major obstacle to safe laparoscopic cholecystectomy.From October 2013 to October 2014, 55 consecutive patients underwent SSRC by a single surgeon at Yonsei University Severance Hospital. Initially, 5 patients underwent the original robotic single site cholecystectomy technique, and the remaining 50 patients underwent robotic single site cholecystectomy using our reverse port technique.There were no differences between the SSRC-O (original port) group and the SSRC-R (reverse port) group in terms of patient age (P = 0.244), body mass index (P = 0.503), and pathologic conditions of the gallbladder (P = 0.841). Total operation time (132.6 vs 99.12 min; P = 0.009), actual dissection time (51.6 vs 30.28 min; P = 0.001), and console time (84.4 vs 50.46 min; P = 0.001) were all significantly shorter in the SSRC-R group. Mean intraoperative blood loss was minimal in both groups (20 vs 12.4 mL, P = 0.467), and bile spillage occurred in 2 patients of the SSRC-R group. There was one case of laparoscopic conversion in the SSRC-R group.The reverse port technique described in this study successfully widened Calot's triangle and improved the safety of the current robotic surgical system for single-site robotic cholecystectomy. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.relation.isPartOf | MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Cholecystectomy, Laparoscopic/instrumentation* | - |
dc.subject.MESH | Cholecystectomy, Laparoscopic/methods* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Robotic Surgical Procedures*/instrumentation | - |
dc.subject.MESH | Young Adult | - |
dc.title | Single-Site Robotic Cholecystectomy: Reverse-Port Technique | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | Myung Jae Jung | - |
dc.contributor.googleauthor | So young Lee | - |
dc.contributor.googleauthor | Sung Hwan Lee | - |
dc.contributor.googleauthor | Chang Moo Kang | - |
dc.contributor.googleauthor | Woo Jung Lee | - |
dc.identifier.doi | 10.1097/MD.0000000000001871 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02993 | - |
dc.contributor.localId | A00088 | - |
dc.contributor.localId | A02875 | - |
dc.contributor.localId | A03597 | - |
dc.relation.journalcode | J02214 | - |
dc.identifier.eissn | 1536-5964 | - |
dc.identifier.pmid | 26496344 | - |
dc.contributor.alternativeName | Kang, Chang Moo | - |
dc.contributor.alternativeName | Lee, Sung Hwan | - |
dc.contributor.alternativeName | Lee, Woo Jung | - |
dc.contributor.alternativeName | Jung, Myung Jae | - |
dc.contributor.affiliatedAuthor | Lee, Woo Jung | - |
dc.contributor.affiliatedAuthor | Kang, Chang Moo | - |
dc.contributor.affiliatedAuthor | Lee, Sung Hwan | - |
dc.contributor.affiliatedAuthor | Jung, Myung Jae | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 94 | - |
dc.citation.number | 42 | - |
dc.citation.startPage | 1871 | - |
dc.identifier.bibliographicCitation | MEDICINE, Vol.94(42) : 1871, 2015 | - |
dc.identifier.rimsid | 30891 | - |
dc.type.rims | ART | - |
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