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Urologic robot-assisted laparoendoscopic single-site surgery using a homemade single-port device: a single-center experience of 68 cases
DC Field | Value | Language |
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dc.contributor.author | 최경화 | - |
dc.contributor.author | 한웅규 | - |
dc.contributor.author | 나군호 | - |
dc.contributor.author | 아르콘셀 | - |
dc.contributor.author | 유호송 | - |
dc.contributor.author | 이재원 | - |
dc.contributor.author | 채윤병 | - |
dc.date.accessioned | 2014-12-20T17:01:15Z | - |
dc.date.available | 2014-12-20T17:01:15Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0892-7790 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/93811 | - |
dc.description.abstract | PURPOSE: To describe our experience with robot-assisted laparoendoscopic single-site (R-LESS) surgeries and evaluate a homemade port system as an effective access technique. PATIENTS AND METHODS: Between May 2009 and April 2010, 68 consecutive R- LESS urologic operations were performed in our institution. A 4 to 5 cm long incision was made over the umbilicus. After the inner ring of the Alexis wound retractor was placed into the peritoneum, a common size 7 surgical glove was then applied over the external side of the wound retractor. A homemade single port was established by inserting two 12-mm trocars and two 8-mm trocars through fingers of a surgical glove and securing it to the port. RESULTS: Sixty-eight patients underwent R-LESS, including partial nephrectomy in 51, nephroureterectomy in 12, radical nephrectomy and adrenalectomy in 2 each, and simple nephrectomy in 1. Mean patient age was 56 years (range 16-81 y). Mean body mass index was 23.9 kg/m(2) (range 17.2-32.9 kg/m(2)). The mean operative time was 219 minutes (range 109-382 min). Mean estimated blood loss 319 mL (range 50-1550 mL), and change in hematocrit was 5.2 % (range 0.0-14.8%). At a mean follow-up of 8 months, there were no port-related complications, and cosmesis was excellent. CONCLUSIONS: R-LESS is feasible and can be safely applied to a variety of urologic operations, considering the low intraoperative complication rate. Our homemade single-port device provides adequate range of motion and is more flexible in port placement for R-LESS than the current multichannel port. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1481~1485 | - |
dc.relation.isPartOf | JOURNAL OF ENDOUROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intraoperative Care | - |
dc.subject.MESH | Laparoscopy/instrumentation* | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Operating Rooms | - |
dc.subject.MESH | Postoperative Care | - |
dc.subject.MESH | Robotics/instrumentation* | - |
dc.subject.MESH | Surgical Instruments* | - |
dc.subject.MESH | Urologic Surgical Procedures/instrumentation* | - |
dc.subject.MESH | Young Adult | - |
dc.title | Urologic robot-assisted laparoendoscopic single-site surgery using a homemade single-port device: a single-center experience of 68 cases | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨기과학) | - |
dc.contributor.googleauthor | Jae Won Lee | - |
dc.contributor.googleauthor | Francis Raymond P. Arkoncel | - |
dc.contributor.googleauthor | Koon Ho Rha | - |
dc.contributor.googleauthor | Kyung Hwa Choi | - |
dc.contributor.googleauthor | Ho Song Yu | - |
dc.contributor.googleauthor | Yunbyung Chae | - |
dc.contributor.googleauthor | Woong Kyu Han | - |
dc.identifier.doi | 10.1089/end.2010.0656 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04036 | - |
dc.contributor.localId | A04308 | - |
dc.contributor.localId | A01227 | - |
dc.contributor.localId | A02220 | - |
dc.contributor.localId | A02534 | - |
dc.contributor.localId | A03080 | - |
dc.contributor.localId | A04020 | - |
dc.relation.journalcode | J01394 | - |
dc.identifier.eissn | 1557-900X | - |
dc.identifier.pmid | 21902517 | - |
dc.identifier.url | http://online.liebertpub.com/doi/abs/10.1089/end.2010.0656 | - |
dc.contributor.alternativeName | Choi, Kyung Hwa | - |
dc.contributor.alternativeName | Han, Woong Kyu | - |
dc.contributor.alternativeName | Rha, Koon Ho | - |
dc.contributor.alternativeName | Arkoncel, Francis Raymond P. | - |
dc.contributor.alternativeName | Yu, Ho Song | - |
dc.contributor.alternativeName | Lee, Jae Won | - |
dc.contributor.alternativeName | Chae, Yun Byung | - |
dc.contributor.affiliatedAuthor | Choi, Kyung Hwa | - |
dc.contributor.affiliatedAuthor | Han, Woong Kyu | - |
dc.contributor.affiliatedAuthor | Rha, Koon Ho | - |
dc.contributor.affiliatedAuthor | Arkoncel, Francis Raymond P. | - |
dc.contributor.affiliatedAuthor | Yu, Ho Song | - |
dc.contributor.affiliatedAuthor | Lee, Jae Won | - |
dc.contributor.affiliatedAuthor | Chae, Yun Byung | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 25 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 1481 | - |
dc.citation.endPage | 1485 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ENDOUROLOGY, Vol.25(9) : 1481-1485, 2011 | - |
dc.identifier.rimsid | 28479 | - |
dc.type.rims | ART | - |
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