3 680

Cited 50 times in

Urologic robot-assisted laparoendoscopic single-site surgery using a homemade single-port device: a single-center experience of 68 cases

DC Field Value Language
dc.contributor.author최경화-
dc.contributor.author한웅규-
dc.contributor.author나군호-
dc.contributor.author아르콘셀-
dc.contributor.author유호송-
dc.contributor.author이재원-
dc.contributor.author채윤병-
dc.date.accessioned2014-12-20T17:01:15Z-
dc.date.available2014-12-20T17:01:15Z-
dc.date.issued2011-
dc.identifier.issn0892-7790-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/93811-
dc.description.abstractPURPOSE: 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.statementOfResponsibilityopen-
dc.format.extent1481~1485-
dc.relation.isPartOfJOURNAL OF ENDOUROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHHumans-
dc.subject.MESHIntraoperative Care-
dc.subject.MESHLaparoscopy/instrumentation*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOperating Rooms-
dc.subject.MESHPostoperative Care-
dc.subject.MESHRobotics/instrumentation*-
dc.subject.MESHSurgical Instruments*-
dc.subject.MESHUrologic Surgical Procedures/instrumentation*-
dc.subject.MESHYoung Adult-
dc.titleUrologic robot-assisted laparoendoscopic single-site surgery using a homemade single-port device: a single-center experience of 68 cases-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨기과학)-
dc.contributor.googleauthorJae Won Lee-
dc.contributor.googleauthorFrancis Raymond P. Arkoncel-
dc.contributor.googleauthorKoon Ho Rha-
dc.contributor.googleauthorKyung Hwa Choi-
dc.contributor.googleauthorHo Song Yu-
dc.contributor.googleauthorYunbyung Chae-
dc.contributor.googleauthorWoong Kyu Han-
dc.identifier.doi10.1089/end.2010.0656-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04036-
dc.contributor.localIdA04308-
dc.contributor.localIdA01227-
dc.contributor.localIdA02220-
dc.contributor.localIdA02534-
dc.contributor.localIdA03080-
dc.contributor.localIdA04020-
dc.relation.journalcodeJ01394-
dc.identifier.eissn1557-900X-
dc.identifier.pmid21902517-
dc.identifier.urlhttp://online.liebertpub.com/doi/abs/10.1089/end.2010.0656-
dc.contributor.alternativeNameChoi, Kyung Hwa-
dc.contributor.alternativeNameHan, Woong Kyu-
dc.contributor.alternativeNameRha, Koon Ho-
dc.contributor.alternativeNameArkoncel, Francis Raymond P.-
dc.contributor.alternativeNameYu, Ho Song-
dc.contributor.alternativeNameLee, Jae Won-
dc.contributor.alternativeNameChae, Yun Byung-
dc.contributor.affiliatedAuthorChoi, Kyung Hwa-
dc.contributor.affiliatedAuthorHan, Woong Kyu-
dc.contributor.affiliatedAuthorRha, Koon Ho-
dc.contributor.affiliatedAuthorArkoncel, Francis Raymond P.-
dc.contributor.affiliatedAuthorYu, Ho Song-
dc.contributor.affiliatedAuthorLee, Jae Won-
dc.contributor.affiliatedAuthorChae, Yun Byung-
dc.rights.accessRightsnot free-
dc.citation.volume25-
dc.citation.number9-
dc.citation.startPage1481-
dc.citation.endPage1485-
dc.identifier.bibliographicCitationJOURNAL OF ENDOUROLOGY, Vol.25(9) : 1481-1485, 2011-
dc.identifier.rimsid28479-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.