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Laparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases

DC Field Value Language
dc.contributor.author아르콘셀-
dc.contributor.author양승철-
dc.contributor.author이재원-
dc.contributor.author최경화-
dc.contributor.author한웅규-
dc.contributor.author함원식-
dc.contributor.author나군호-
dc.date.accessioned2014-12-20T16:33:58Z-
dc.date.available2014-12-20T16:33:58Z-
dc.date.issued2011-
dc.identifier.issn2005-6737-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/92958-
dc.description.abstractPURPOSE: We report our experience to date with 171 patients who underwent laparoendoscopic single-site surgery for diverse urologic diseases in a single institution. MATERIALS AND METHODS: Between December 2008 and August 2010, we performed 171 consecutive laparoendoscopic single-site surgeries. These included simple nephrectomy (n=18; robotic surgeries, n=1), radical nephrectomy (n=26; robotic surgeries, n=2), partial nephrectomy (n=59; robotic surgeries, n=56), nephroureterectomy (n=20; robotic surgeries, n=12), pyeloplasty (n=4), renal cyst decortications (n=22), adrenalectomy (n=4; robotic surgeries, n=2), ureterolithotomy (n=10), partial cystectomy (n=3), ureterectomy (n=1), urachal mass excision (n=1), orchiectomy (n=1), seminal vesiculectomy (n=1), and retroperitoneal mass excision (n=1). All procedures were performed by use of a homemade single-port device with a wound retractor and surgical gloves. A prospective study was performed to evaluate outcomes in 171 cases. RESULTS: Of the 171 patients, 98 underwent conventional laparoendoscopic single-site surgery and 73 underwent robotic laparoendoscopic single-site surgery. Mean patient age was 53 years, mean operative time was 190.8 minutes, and mean estimated blood loss was 204 ml. Intraoperative complications occurred in seven cases (4.1%), and postoperative complications in nine cases (5.3%). There were no complications classified as Grade IIIb or higher (Clavien-Dindo classification for surgical complications). Conversion to mini-incision open surgery occurred in seven (4.1%) cases. Regarding oncologic outcomes, no cancer-related events occurred during follow-up other than one aggressive progression of Ewing sarcoma. CONCLUSIONS: Laparoendoscopic single-site surgery is technically feasible and safe for various urologic diseases; however, surgical experience and long-term follow-up are needed to test the superiority of laparoendoscopic single-site surgery-
dc.description.statementOfResponsibilityopen-
dc.format.extent31~38-
dc.relation.isPartOfKOREAN JOURNAL OF UROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleLaparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨기과학)-
dc.contributor.googleauthorKyung Hwa Choi-
dc.contributor.googleauthorWon Sik Ham-
dc.contributor.googleauthorKoon Ho Rha-
dc.contributor.googleauthorJae Won Lee-
dc.contributor.googleauthorHwang Gyun Jeon-
dc.contributor.googleauthorFrancis Raymond P. Arkoncel-
dc.contributor.googleauthorSeung Choul Yang-
dc.contributor.googleauthorWoong Kyu Han-
dc.identifier.doi10.4111/kju.2011.52.1.31-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02220-
dc.contributor.localIdA02294-
dc.contributor.localIdA03080-
dc.contributor.localIdA04036-
dc.contributor.localIdA04308-
dc.contributor.localIdA04337-
dc.contributor.localIdA01227-
dc.relation.journalcodeJ02134-
dc.identifier.eissn2005-6745-
dc.identifier.pmid21344028-
dc.subject.keywordKidney-
dc.subject.keywordLaparoscopy-
dc.subject.keywordMinimally invasive surgical procedures-
dc.subject.keywordRobotics-
dc.subject.keywordUreter-
dc.contributor.alternativeNameArkoncel, Francis Raymond P.-
dc.contributor.alternativeNameYang, Seung Choul-
dc.contributor.alternativeNameLee, Jae Won-
dc.contributor.alternativeNameChoi, Kyung Hwa-
dc.contributor.alternativeNameHan, Woong Kyu-
dc.contributor.alternativeNameHam, Won Sik-
dc.contributor.alternativeNameRha, Koon Ho-
dc.contributor.affiliatedAuthorArkoncel, Francis Raymond P.-
dc.contributor.affiliatedAuthorYang, Seung Choul-
dc.contributor.affiliatedAuthorLee, Jae Won-
dc.contributor.affiliatedAuthorChoi, Kyung Hwa-
dc.contributor.affiliatedAuthorHan, Woong Kyu-
dc.contributor.affiliatedAuthorHam, Won Sik-
dc.contributor.affiliatedAuthorRha, Koon Ho-
dc.rights.accessRightsfree-
dc.citation.volume52-
dc.citation.number1-
dc.citation.startPage31-
dc.citation.endPage38-
dc.identifier.bibliographicCitationKOREAN JOURNAL OF UROLOGY, Vol.52(1) : 31-38, 2011-
dc.identifier.rimsid27931-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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