| 로봇 보조 복강경 방광적출술 및 요로전환술의 초기 경험 |
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조희주, 신순철, 서도영, 민동석, 조정만, 강정윤, 유탁근 |
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을지대학교 의과대학 비뇨기과 |
| Robot-Assisted Laparoscopic Radical Cystectomy with Urinary Diversion: Initial Experience |
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Hee Ju Cho , Soon Cheol Shin , Do Young Seo , Dong Suk Min , Jeong Man Cho , Jung Yoon Kang , Tag Keun Yoo |
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Department of Urology, Eulji University School of Medicine, Seoul, Korea |
Correspondence:
Tag Keun Yoo
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| Abstract |
Purpose
Robot assisted laparoscopic radical cystectomy (RARC) is one of the options for minimal invasive treatment of muscle invasive bladder cancer or uncontrolled non muscle invasive bladder cancer. We detailed our operative techniques and initial experiences of robot assisted laparoscopic radical cystectomy with urinary diversion. Materials and Methods: From April 2010 to December 2011, 10 consecutive patients with bladder cancer who were performed robot assisted laparoscopic radical cystectomy with urinary diversion were enrolled. Patient's demographics, intra-, perioperative data and oncologic outcome were analyzed. Urinary diversions including 9 ileal conduit and 1 ileal orthotopic neobladder were underwent extracoporeally. Results: Mean patient age was 65.1 years. The mean body mass index was 22.7kg/m2. The mean operation time was 588.1min including 319.5min for robot assisted laparoscopic cystectomy (RARC), 165.0min for extracorporeal urinary diversion and 53.1min for lymph node dissection. The mean estimated blood loss was 244.7ml. The mean number of retrieved lymph node was 17.2. The pathologic report showed transitional cell carcinoma in all cases and adenocarcinoma of prostate in 2 male patients. No intra-operative complication was occurred. Conclusions: Robot assisted laparoscopic radical cystectomy could minimize surgery related complications without jeopardizing oncologic outcome. RARC may be effective treatment option for advanced bladder cancer. (Korean J Urol Oncol 2012;10:34-40) |
| Key Words:
Robotics, Cystectomy, Urinary bladder neplasm |
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