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Robotic Cholecystectomy Using the Newly Developed Korean Robotic Surgical System, Revo-i: A Preclinical Experiment in a Porcine Model.

Authors
 Chang Moo Kang  ;  Jae Uk Chong  ;  Jin Hong Lim  ;  Dong Won Park  ;  Sung Jun Park  ;  Suhyeon Gim  ;  Hye Jin Ye  ;  Se Hoon Kim  ;  Woo Jung Lee 
Citation
 Yonsei Medical Journal, Vol.58(5) : 1075-1077, 2017 
Journal Title
 Yonsei Medical Journal 
ISSN
 0513-5796 
Issue Date
2017
MeSH
Animals ; Cholecystectomy/methods* ; Female ; Models, Animal ; Operative Time ; Republic of Korea ; Robotic Surgical Procedures/methods* ; Swine
Keywords
Robotic surgical procedure ; cholecystectomy ; device approvals
Abstract
One Korean company recently successfully produced a robotic surgical system prototype called Revo-i (MSR-5000). We, therefore, conducted a preclinical study for robotic cholecystectomy using Revo-i, and this is a report of the first case of robotic cholecystectomy performed using the Revo-i system in a preclinical porcine model. Revo-i consists of a surgeon console (MSRC-5000), operation cart (MSRO-5000) and vision cart (MSRV-5000), and a 40 kg-healthy female porcine was prepared for robotic cholecystectomy with general anesthesia. The primary end point was the safe completion of these procedures using Revo-i: The total operation time was 88 minutes. The dissection time was defined as the time from the initial dissection of the Calot area to the time to complete gallbladder detachment from the liver bed: The dissection time required 14 minutes. The surgical console time was 45 minutes. There was no gallbladder perforation or significant bleeding noted during the procedure. The porcine survived for two weeks postoperatively without any complications. Like the da Vinci surgical system, the Revo-i provides a three-dimensional operative view and allows for angulated instrument motion (forceps, needle-holders, clip-appliers, scissors, bipolar energy, and hook monopolar energy), facilitating an effective laparoscopic procedure. Our experience suggests that robotic cholecystectomy can be safely completed in a porcine model using Revo-i.
Files in This Item:
T201702791.pdf Download
DOI
10.3349/ymj.2017.58.5.1075
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
강창무(Kang, Chang Moo) ORCID logo https://orcid.org/0000-0002-5382-4658
김세훈(Kim, Se Hoon) ORCID logo https://orcid.org/0000-0001-7516-7372
이우정(Lee, Woo Jung) ORCID logo https://orcid.org/0000-0001-9273-261X
임진홍(Lim, Jin Hong)
정재욱(Chong, Jae Uk)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/160629
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