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Robot-assisted laparoendoscopic single-site surgery: partial nephrectomy for renal malignancy.

 Woong Kyu Han  ;  Dong Suk Kim  ;  Hwang Gyun Jeon  ;  Wooju Jeong  ;  Cheol Kyu Oh  ;  Kyung Hwa Choi  ;  Enrique Ian S. Lorenzo  ;  Koon Ho Rha 
 UROLOGY, Vol.77(3) : 612-616, 2011 
Journal Title
Issue Date
Adult ; Aged ; Carcinoma, Renal Cell/surgery ; Female ; Humans ; Kidney Neoplasms/surgery ; Laparoscopy/methods* ; Male ; Middle Aged ; Nephrectomy/methods* ; Robotics/methods*
OBJECTIVES: To describe our experience with robot-assisted laparoendoscopic single-site surgery (LESS) to perform partial nephrectomy and evaluate a hybrid homemade port system as an effective access technique. METHODS: From December 2008 to September 2009, robot-assisted LESS to perform partial nephrectomy through a hybrid homemade port was performed to treat 14 cases of renal cell carcinoma. The data, including patient characteristics, operative records, complications, and pathologic results, were analyzed. RESULTS: The mean tumor size was 3.2 cm, the mean ischemic time was 30 minutes, and the mean operative time was 233 minutes. We used the hybrid homemade port technique in 10 cases. All surgical margins after partial nephrectomy were negative for malignancy. No port-related complications were reported. Two cases required conversion to mini-incisional partial nephrectomy. CONCLUSIONS: Robot-assisted LESS for performing partial nephrectomy using a hybrid homemade port system is a safe and feasible treatment technique. It provided access for meticulous suturing on the renal parenchyma using articulating robot arms and ready access to the surgical field for the assistant.
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1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Suk(김동석)
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Oh, Cheol Kyu(오철규)
Lorenzo, Enrique Ian(이안로렌조)
Jeon, Hwang Gyun(전황균)
Jeong, Woo Ju(정우주)
Choi, Kyung Hwa(최경화)
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
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