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Successful cholecystectomy during robotic gastrectomy.

Authors
 Yanghee Woo  ;  Woo Jin Hyung  ;  Kyung Ho Pak  ;  Kazutaka Obama  ;  Sung Hoon Noh 
Citation
 MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES, Vol.21(4) : 276-281, 2012 
Journal Title
 MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES 
ISSN
 1364-5706 
Issue Date
2012
MeSH
Chi-Square Distribution ; Cholecystectomy/instrumentation* ; Cholecystectomy/methods ; Female ; Gastrectomy/instrumentation* ; Gastrectomy/methods ; Humans ; Length of Stay ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/instrumentation* ; Minimally Invasive Surgical Procedures/methods ; Retrospective Studies ; Robotics/instrumentation* ; Robotics/methods ; Stomach Neoplasms/surgery* ; Time
Keywords
Robotic surgery ; minimally invasive surgery ; abdominal surgery ; gastric cancer
Abstract
BACKGROUND: Surgeons have successfully combined various laparoscopic procedures with increasing technical ease. However, few reports exist regarding the feasibility of combined robotic operations. We present our institution's successful concomitant robotic surgery for early gastric cancer and coexisting gallbladder disease. MATERIAL AND METHODS: From our prospectively collected database, seven patients who received robotic cholecystectomies during their robotic gastric cancer operations were retrospectively compared to 247 patients who underwent robotic gastrectomies alone. Preoperative patient characteristics, operative factors, postoperative length of stay, and complications were evaluated. RESULTS: The preoperative patient characteristics and operative factors did not differ between the two groups. All robotic cholecystectomies were performed with the same ports and instruments used during robotic gastrectomies without open conversion, robot redocking or patient repositioning. Mean time to perform robotic cholecystectomies was 15.1 + 3.2 minutes. The combined group had no mortality, one wound infection, and one intraabdominal fluid collection at the gastric resection bed, which were comparable to the gastrectomy alone group. The mean postoperative length of hospital stay was unaltered by the addition of the cholecystectomy. CONCLUSIONS: Robotic cholecystectomies can safely and efficiently be combined with robotic gastric cancer surgery, yielding several benefits. Improving robotic technology and experience may allow surgeons to efficiently combine more complicated procedures.
Full Text
http://informahealthcare.com/doi/abs/10.3109/13645706.2011.628996
DOI
22049943
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Pak, Kyung Ho(박경호)
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91462
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