Christos Komninos1, Patrick Tuliao2, Dae Keun Kim2, Young Deuk Choi2, Byung Ha Chung2, Koon Ho Rha2. 1. Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea. ; Department of Urology, General Hospital of Nikaia 'St. Panteleimon', Athens, Greece. 2. Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
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.
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.
Authors: Kyung Hwa Choi; Won Sik Ham; Koon Ho Rha; Jae Won Lee; Hwang Gyun Jeon; Francis Raymond P Arkoncel; Seung Choul Yang; Woong Kyu Han Journal: Korean J Urol Date: 2011-01-24
Authors: Samuel K Park; Ephrem O Olweny; Sara L Best; Chad R Tracy; Saad A Mir; Jeffrey A Cadeddu Journal: Eur Urol Date: 2011-08-12 Impact factor: 20.096
Authors: Riccardo Autorino; Jihad H Kaouk; Rachid Yakoubi; Koon Ho Rha; Robert J Stein; Wesley M White; Jens-Uwe Stolzenburg; Luca Cindolo; Evangelos Liatsikos; Soroush Rais-Bahrami; Alessandro Volpe; Deok Hyun Han; Ithaar H Derweesh; Seung Wook Lee; Aly M Abdel-Karim; Anibal Branco; Francesco Greco; Mohamad Allaf; Rene Sotelo; Panagiotis Kallidonis; Byong Chang Jeong; Sara Best; Wassim Bazzi; Phillip Pierorazio; Salah Elsalmy; Abhay Rane; Woong Kyu Han; Bo Yang; Luigi Schips; Wilson R Molina; Paolo Fornara; Carlo Terrone; Camilo Giedelman; Joo Yong Lee; Sebastien Crouzet; Georges-Pascal Haber; Lee Richstone; Sun Yinghao; Fernando J Kim; Jeffrey A Cadeddu Journal: J Urol Date: 2012-04-11 Impact factor: 7.450