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Feasibility of Transvesical Robotic VVF Repair in Porcine Model

Authors
 Han, Jang Hee  ;  Kim, Hong-Wook  ;  Rha, Koon Ho  ;  Kim, Jang Hwan 
Citation
 SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, Vol.27(3) : e36-e39, 2017 
Journal Title
 SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES 
ISSN
 1530-4515 
Issue Date
2017
MeSH
Animals ; Feasibility Studies ; Female ; Robotic Surgical Procedures/methods* ; Sus scrofa ; Swine ; Vesicovaginal Fistula/surgery*
Abstract
Extraperitoneal transvesicoscopic vesicovaginal fistula (VVF) repair has received limited use because of its narrow working space, longer operation time, and technical difficulty. The present study describes the feasibility of robotic-assisted transvesicoscopic VVF repair in an animal model. Two Yorkshire swine underwent robotic-assisted laparoscopic (RAL) VVF repair. With the 4 trocars, an artificial VVF was made in the supratrigonal area and VVF repair was performed in 3 layers as in open VVF repair methods. The mean operation time was 108 minutes. The operation time was prolonged in 1 case due to weak fixation of bladder to anterior abdominal wall. Equipment interference did not occur. Tissue manipulation and suturing were easy. The results of this study suggest that extraperitoneal RAL procedures for VVF repair may be an effective minimally invasive modality with reduced morbidity. A shorter operation time and easy suturing technique were the distinct merits of the extraperitoneal RAL technique.
Full Text
https://oce.ovid.com/article/00129689-201706000-00020/HTML
DOI
10.1097/SLE.0000000000000407
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jang Hwan(김장환) ORCID logo https://orcid.org/0000-0002-9056-7072
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/160543
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