|
KMID : 1001020080060030133
|
|
Journal of Urologic Oncology
2008 Volume.6 No. 3 p.133 ~ p.137
|
|
|
Application of Robotic Surgery to Urologic Malignancy: A Single Center Experience
|
|
Park Sung-Yul
Ham Won-Sik
Jeong Woo-Ju
Kim Won-Tae
Choi Young-Deuk
Chung Byung-Ha
Hong Sung-Joon
Rha Koon-Ho
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Robotic surgery, Prostatectomy, Urologic malignancy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|