Cited 4 times in
Clinical Implications for da Vinci SP Partial Nephrectomy in High-Complexity Tumors: Propensity Score-Matching Analysis
DC Field | Value | Language |
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dc.contributor.author | 나준채 | - |
dc.contributor.author | 장원식 | - |
dc.contributor.author | 한웅규 | - |
dc.contributor.author | 이종수 | - |
dc.contributor.author | 김진우 | - |
dc.date.accessioned | 2022-12-22T04:49:16Z | - |
dc.date.available | 2022-12-22T04:49:16Z | - |
dc.date.issued | 2022-10 | - |
dc.identifier.issn | 0892-7790 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/192228 | - |
dc.description.abstract | Purpose: To compare surgical outcomes between robot-assisted laparoendoscopic single-site (R-LESS) surgery using the da Vinci Si or Xi system and the da Vinci SP system for partial nephrectomy. Materials and Methods: From 2008 to 2020, 66 partial nephrectomies were performed using a single-site robotic approach: 44 used the da Vinci Xi or Si system (R-LESS group) and 22 used the da Vinci SP system (SP group). After 1:1 propensity score matching, surgical outcomes were compared between groups. Results: Median patient age was 51.5 years. Median tumor size was 2.1 cm and was not significantly different between groups. Median operation time was longer in the R-LESS group (R-LESS vs SP: 180 vs 155 minutes, p = 0.034), but median warm ischemic time was comparable between groups. Estimated blood loss was higher in the R-LESS group (R-LESS vs SP: 215 vs 20 mL, p < 0.001). Median operation time was significantly shorter in the SP group in patients with moderate- to high-complexity tumors (R-LESS vs SP: 200 vs 172 minutes, p = 0.035). Rates of trifecta achievement were similar between groups (63.6% in both groups, p = 1.00). Conclusions: R-LESS and da Vinci SP methods are both feasible approaches for single-site incision robotic partial nephrectomy. The da Vinci SP platform allows "true" single-site surgery without additional ports and provides a wider working space. It was associated with better performance than R-LESS partial nephrectomy. In complex tumors, operation time was shorter with SP partial nephrectomy than with R-LESS partial nephrectomy, suggesting that the SP method is especially advantageous for managing complex renal tumors. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Mary Ann Liebert | - |
dc.relation.isPartOf | JOURNAL OF ENDOUROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Kidney Neoplasms* / pathology | - |
dc.subject.MESH | Kidney Neoplasms* / surgery | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Nephrectomy / methods | - |
dc.subject.MESH | Propensity Score | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Robotic Surgical Procedures* / methods | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Warm Ischemia | - |
dc.title | Clinical Implications for da Vinci SP Partial Nephrectomy in High-Complexity Tumors: Propensity Score-Matching Analysis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨의학교실) | - |
dc.contributor.googleauthor | Jinu Kim | - |
dc.contributor.googleauthor | Joon Chae Na | - |
dc.contributor.googleauthor | Jong Soo Lee | - |
dc.contributor.googleauthor | Won Sik Jang | - |
dc.contributor.googleauthor | Woong Kyu Han | - |
dc.identifier.doi | 10.1089/end.2022.0203 | - |
dc.contributor.localId | A04742 | - |
dc.contributor.localId | A05268 | - |
dc.contributor.localId | A04308 | - |
dc.contributor.localId | A05500 | - |
dc.relation.journalcode | J01394 | - |
dc.identifier.eissn | 1557-900X | - |
dc.identifier.pmid | 35699058 | - |
dc.identifier.url | https://www.liebertpub.com/doi/10.1089/end.2022.0203 | - |
dc.subject.keyword | kidney cancer | - |
dc.subject.keyword | nephron-sparing surgery | - |
dc.subject.keyword | partial nephrectomy | - |
dc.subject.keyword | robotic surgery | - |
dc.subject.keyword | single-site surgery | - |
dc.contributor.alternativeName | Na, Joon Chae | - |
dc.contributor.affiliatedAuthor | 나준채 | - |
dc.contributor.affiliatedAuthor | 장원식 | - |
dc.contributor.affiliatedAuthor | 한웅규 | - |
dc.contributor.affiliatedAuthor | 이종수 | - |
dc.citation.volume | 36 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 1290 | - |
dc.citation.endPage | 1295 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ENDOUROLOGY, Vol.36(10) : 1290-1295, 2022-10 | - |
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