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Technique and perioperative outcomes of single-port robotic surgery using the da Vinci SP platform in urology
- Title
- Technique and perioperative outcomes of single-port robotic surgery using the da Vinci SP platform in urology
- Authors
- Kim, Kwang Hyun; Ahn, Hyun Kyu; Kim, Myong; Yoon, Hana
- Ewha Authors
- 윤하나; 김광현; 김명; 안현규
- SCOPUS Author ID
- 윤하나; 김광현; 김명; 안현규
- Issue Date
- 2023
- Journal Title
- ASIAN JOURNAL OF SURGERY
- ISSN
- 1015-9584
0219-3108
- Citation
- ASIAN JOURNAL OF SURGERY vol. 46, no. 1, pp. 472 - 477
- Keywords
- Single port; Robotic surgery; Minimally invasive surgery
- Publisher
- ELSEVIER SINGAPORE PTE LTD
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Objective: To describe surgical technique for single port robotic surgery using the da Vinci SP system and report the perioperative outcomes. Patients and methods: Between Jan 2019 and Jan 2021, single-port robotic urologic surgeries were per-formed in 120 patients by a single surgeon. Clinicopathologic data and perioperative outcomes were collected. All surgical procedures were performed with a transperitoneal approach through an umbilical single port. Additional assistant port was used in complex procedures for malignant disease. Surgeries were carried out using both above and below camera position for effective retraction. For reconstructive surgery using intestine, an extra-intracorporeal hybrid method was used. Surgical procedures involving both kidney and pelvis were performed without change of patient position or trocar placement. Results: Mean age was 62.7 years and 102 patients were male. For oncologic indication, 105 patients underwent surgeries including 66 radical prostatectomy, 25 partial nephrectomy, six radical nephrec-tomies, five nephroureterectomy and three radical cystectomy with urinary diversion. Fifteen cases with benign indication included four ureterolithotomy, seven uretero/pyeloplasty, three ureter-oneocystostomy, and one ileal ureter reconstruction. All surgeries were performed successfully without conversion to other surgical approach. Clavien-Dindo grade III complication occurred in two patients. Conclusions: The da Vinci SP system provides a new robotic surgical platform for single port surgery while maintaining the major features of robotic surgery similar to multi-port surgery. Various single port urologic surgeries can be safely performed with this platform.
- DOI
- 10.1016/j.asjsur.2022.05.128
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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