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 language | English |
|---|---|
| Pages (from-to) | 380-384 |
| Number of pages | 5 |
| Journal | Korean Journal of Urology |
| Volume | 55 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2014 Jun |
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All Science Journal Classification (ASJC) codes
- Urology
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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 journal › Article
TY - JOUR
T1 - Robot-assisted laparoendoscopic single-site partial nephrectomy with the novel da Vinci single-site platform
T2 - Initial experience
AU - Komninos, Christos
AU - Tuliao, Patrick
AU - Kim, Dae Keun
AU - Deuk Choi, Young
AU - Ha Chung, Byung
AU - Rha, Koon Ho
PY - 2014/6
Y1 - 2014/6
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84902577032&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84902577032&partnerID=8YFLogxK
U2 - 10.4111/kju.2014.55.6.380
DO - 10.4111/kju.2014.55.6.380
M3 - Article
AN - SCOPUS:84902577032
VL - 55
SP - 380
EP - 384
JO - Korean Journal of Urology
JF - Korean Journal of Urology
SN - 2005-6737
IS - 6
ER -