| 로봇을 이용한 비뇨기 종양 수술의 단일기관 경험 |
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박성열1, 함원식, 정우주, 김원태, 최영득, 정병하, 홍성준, 나군호 |
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연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소, 1한양대학교 의과대학 비뇨기과학교실 |
| Application of Robotic Surgery to Urologic Malignancy: A Single Center Experience |
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Sung Yul Park 1, Won Sik Ham , Wooju Jeong , Won Tae Kim , Young Deuk Choi , Byung Ha Chung , Sung Joon Hong , Koon Ho Rha |
0Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Korea
1Department of Urology, Department of Urology, Hanyang University College of Medicine, Seoul, Korea |
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| Abstract |
Purpose
The robot-assisted laparoscopic radical prostatectomy has rapidly become one of the standards of care. As experience with the da VinciTM robot system for radical prostatectomy grows, a transition to its use in other urologic surgeries seems only natural. We present our experience with the daVinci Robotic System and its expanding use in our practice. Materials and Methods: Between July 2005 and June 2008, 611 robotic urologic surgeries, including 544 robotic prostatectomies, 35 robotic partial nephrectomies, 13 robotic nephroureterectomies, 10 robotic radical cystectomies, 8 robotic radical nephrectomies, and 1 robotic partial cystectomy were performed. Seven surgeons performed the procedures. Results: In the first year, only 43 procedures were performed and all were radical prostatectomy. In the second year, 164 procedures were performed. In the third year, 404 procedures were performed including cystectomy, nephroureterectomy, nephrectomy, and partial cystectomy. Initial cases were time consuming, as few references to robotic surgery were available. Initial operative times for prostatectomy, partial nephrectomy, cystectomy, and nephroureterectomy were 418, 222, 340, and 320 minutes respectively. But average operative times for prostatectomy, partial nephrectomy, cystectomy, and nephroureterectomy were 181, 172, 315, and 218 minutes respectively. With better control of the equipment, and having overcome the initial learning curve, transition from prostatectomy to other urologic procedures occurred without much difficulty. Conclusions: Through our experience, we have found that as experience with radical prostatectomy expands, many other urologic procedures can be performed by robot safely and effectively. (Korean J Urol Oncol 2008;6:133-137) |
| Key Words:
Robotic surgery, Prostatectomy, Urologic malignancy |
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