Robot-assisted laparoendoscopic single-site partial nephrectomy with the novel da Vinci single-site platform: Initial experience

Christos Komninos, Patrick Tuliao, Dae Keun Kim, Young Deuk Choi, Byung Ha Chung, Koon Ho Rha

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose: To report our initial clinical cases of robotic laparoendoscopic single-site (R-LESS) partial nephrectomy (PN) performed with the use of the novel Da Vinci R-LESS platform. Materials and Methods: Three patients underwent R-LESS PN from November 2013 through February 2014. Perioperative and postoperative outcomes were collected and intraoperative difficulties were noted. Results: Operative time and estimated blood loss volume ranged between 100 and 110 minutes and between 50 and 500 mL, respectively. None of the patients was transfused. All cases were completed with the off-clamp technique, whereas one case required conversion to the conventional (multiport) approach because of difficulty in creating the appropriate scope for safe tumor resection. No major postoperative complications occurred, and all tumors were resected in safe margins. Length of hospital stay ranged between 3 and 7 days. The lack of EndoWrist movements, the external collisions, and the bed assistant's limited working space were noticed to be the main drawbacks of this surgical method. Conclusions: Our initial experience with R-LESS PN with the novel Da Vinci platform shows that even though the procedure is feasible, it should be applied in only appropriately selected patients. However, further improvement is needed to overcome the existing limitations.

Original languageEnglish
Pages (from-to)380-384
Number of pages5
JournalKorean Journal of Urology
Volume55
Issue number6
DOIs
Publication statusPublished - 2014 Jun

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Robotics
Nephrectomy
Length of Stay
Operative Time
Blood Volume
Neoplasms

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

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abstract = "Purpose: To report our initial clinical cases of robotic laparoendoscopic single-site (R-LESS) partial nephrectomy (PN) performed with the use of the novel Da Vinci R-LESS platform. Materials and Methods: Three patients underwent R-LESS PN from November 2013 through February 2014. Perioperative and postoperative outcomes were collected and intraoperative difficulties were noted. Results: Operative time and estimated blood loss volume ranged between 100 and 110 minutes and between 50 and 500 mL, respectively. None of the patients was transfused. All cases were completed with the off-clamp technique, whereas one case required conversion to the conventional (multiport) approach because of difficulty in creating the appropriate scope for safe tumor resection. No major postoperative complications occurred, and all tumors were resected in safe margins. Length of hospital stay ranged between 3 and 7 days. The lack of EndoWrist movements, the external collisions, and the bed assistant's limited working space were noticed to be the main drawbacks of this surgical method. Conclusions: Our initial experience with R-LESS PN with the novel Da Vinci platform shows that even though the procedure is feasible, it should be applied in only appropriately selected patients. However, further improvement is needed to overcome the existing limitations.",
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Robot-assisted laparoendoscopic single-site partial nephrectomy with the novel da Vinci single-site platform : Initial experience. / Komninos, Christos; Tuliao, Patrick; Kim, Dae Keun; Deuk Choi, Young; Ha Chung, Byung; Rha, Koon Ho.

In: Korean Journal of Urology, Vol. 55, No. 6, 06.2014, p. 380-384.

Research output: Contribution to journalArticle

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