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Robotics applied in laparoscopic kidney surgery: the Yonsei University experience of 127 cases

Authors
 Enrique Ian S. Lorenzo  ;  Wooju Jeong  ;  Cheol Kyu Oh  ;  Byung Ha Chung  ;  Young Deuk Choi  ;  Koon Ho Rha 
Citation
 UROLOGY, Vol.77(1) : 114-118, 2011 
Journal Title
 UROLOGY 
ISSN
 0090-4295 
Issue Date
2011
MeSH
Clinical Competence ; Female ; Hospitals, University ; Humans ; Laparoscopy/methods* ; Male ; Middle Aged ; Nephrectomy/methods* ; Robotics*
Abstract
OBJECTIVE: We report our experience on 127 kidney surgeries with the da Vinci surgical system and show the feasibility of a robotics application in a variety of kidney surgeries by both a laparoscopically-trained and a laparoscopically-naïve surgeon. METHODS: Clinical data of patients who underwent kidney surgery with the da Vinci surgical system from September 2006 to April 2009 were reviewed. Data acquired from medical records included patient demographics, operative time, estimated blood loss (EBL), incidence of intraoperative complication, duration of hospital stay, blood transfusion rate, oncological outcomes, and follow-up results. RESULT: One-hundred twenty-seven kidney surgeries have been conducted with the da Vinci surgical system at our institution. Three urologists--1 with formal endourology training, 1 with laparoscopic experience, and 1 laparoscopically naïve--have used it for a variety of procedures involving the kidney. The cases include 65 partial nephrectomies (RPN), 38 radical nephrectomies (RRN), and 24 nephroureterectomies with bladder cuff (RNU). Results on operative time, EBL, incidence of intraoperative injury, duration of hospital stay, and blood transfusion rate are comparable with contemporary studies. CONCLUSIONS: Robotics application in kidney surgery is a viable option for various procedures. Our experience shows it can be safely and effectively conducted by both laparoscopically-trained and laparoscopically-naïve surgeons once they are accustomed to the robotics system
Full Text
http://www.sciencedirect.com/science/article/pii/S0090429510002128
DOI
10.1016/j.urology.2010.02.011
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Oh, Cheol Kyu(오철규)
Lorenzo, Enrique Ian(이안로렌조)
Chung, Byung Ha(정병하) ORCID logo https://orcid.org/0000-0001-9817-3660
Jeong, Woo Ju(정우주)
Choi, Young Deuk(최영득) ORCID logo https://orcid.org/0000-0002-8545-5797
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92743
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