로봇 보조 복강경 방광적출술 및 회장도관술
Robot-assisted Laparoscopic Radical Cystectomy with Ileal Conduit Urinary Diversion
박성열, 조강수, 박경기, 박성진, 함원식, 나군호,
소속 상세정보
박성열 ( Park Sung-Yul )
연세대학교 의과대학 비뇨기과학교실
조강수 ( Cho Kang-Su )
연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소
박경기 ( Park Kyung-Kgi )
연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소
박성진 ( Park Sung-Jin )
연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소
함원식 ( Ham Won-Sik )
연세대학교 의과대학 비뇨기과학교실, 비뇨의과학연구소
나군호 ( Rha Koon-Ho )
연세대학교 의과대학 비뇨기과학교실
KMID : 0358320080490060506
Abstract
Purpose: In this study, we detail our initial experience with robot-assisted laparoscopic radical cystectomy(RLRC) with ileal conduit urinary diversion(ICUD) and describe the stepwise surgical procedure.
Material and Methods :Four men underwent RLRC with extracorporeal ICUD for muscle invasive bladder cancer. RLRC was performed by a single surgeon using the da VinciTM robot system(Intuitive Surgical, Sunnyvale, USA) with four robot arms. The surgical specimen was extracted through the sub-umbilical incision, and ICUD was also achieved through the sub-umbilical incision by extracorporeal technique.
Results: The mean operative time was 355±49.8 minutes, and the mean estimated blood loss was 550±57.7ml. The mean hospital stay was 12±2.9 days. There were no major complications. On surgical pathology, one patient had pTis, one patient had pT1, and two patients had pT3 transitional cell carcinoma of the bladder. There were no positive surgical margins or lymph nodes. The mean number of dissected lymph nodes was 17±4.6(range: 12-23).
Conclusion: Despite limited experience, RLRC is a feasible procedure with minimal blood loss, shorter hospital stay, and may be an alternative to the open technique.
키워드
Robotics;Cystectomy;Urinary bladder;neoplasms
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