로봇을 이용한 복강경 근치적 전립선적출술
Robot-assisted Laparoscopic Radical Prostatectomy
이용성, 한웅규, 양승철, 나군호,
소속 상세정보
이용성 ( Lee Yong-Seong )
연세대학교 의과대학 비뇨기과학교실
한웅규 ( Han Woong-Kyu )
연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소
양승철 ( Yang Seung-Choul )
연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소
나군호 ( Rha Koon-Ho )
연세대학교 의과대학 비뇨기과학교실
KMID : 0358320060470020206
Abstract
In recent years, robot-assisted laparoscopic radical prostatectomy (rLRP) has emerged as a feasible treatment option for patients with organ-confined prostate cancer. We first performed rLRP in the republic of Korea and report our technique and outcome. Our patient was a 69-year-old man presenting with a T1a adenocarcinoma, a 4 (2+2) Gleason score and 1.37ng/ml preoperative serum prostate specific antigen. A rLRP was performed with the da VinciTM robot system (Intuitive Surgical, Inc., Mountain View, USA) which has a total of seven degrees of motion (six degrees of freedom and grip) EndoWrist instrumentation. The total operative time was 420 minutes, and the robot set-up time including port insertion was 80 minutes. The estimated blood loss was 200ml. The pathological examination showed a stage T2a, with a 4 (2+2) Gleason score and negative
surgical margins. A rLRP confers the benefits of enhanced precision and dexterity for complex laparoscopic work in the pelvic cavity. (Korean J Urol 2006;47:206-210)
키워드
Robotics;Laparoscopy;Prostatectomy
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