측면 경복강 접근을 이용한 로봇 부신 절제술: 초기 연속 15예 수술 경험 보고

양인수; 이혜윤; 유지영; 손길수; 이재복; 배정원; 김훈엽

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자료유형: 학술저널

저자정보: 양인수 이혜윤 유지영 손길수 이재복 배정원 김훈엽

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제12권 제3호

발행연도: 2012.1

수록면: 179 - 184 (6page)

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연구배경

🔬

연구방법

🏆

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Purpose: In this study, we report on our initial experience using the da Vinci-SⓇ robotic surgical system in performance of laparoscopic adrenalectomy. Methods: Fifteen patients, 11 with left adrenal tumors and four with right adrenal tumors, underwent robotic adrenalectomies using the lateral transperitoneal approach with the da Vinci-SⓇ surgical system at the Korea University Anam Hospital, Seoul, Korea, between October 2009 and May 2012. Results: The mean age of the patients was 45.5 (22∼61) years, and the mean body mass index was 23.81 (18.0∼28.57) kg/m2. Eleven left adrenalectomies, four for primary aldosteronisms, four for pheochromocytomas, two for primary adrenal Cushing’s adenoma, and one for myelolipoma, and four right adrenalectomies, two for the primary adrenal Cushing’s adenomas, one for pheochromocytoma, and one for primary aldosteronism, were performed robotically. There was no conversion to traditional laparoscopic or open surgery. The mean size of the tumor was 2.54 (1.0∼5.5) cm. The mean operative time was 208.2 (120∼320) minutes, and the mean console time was 127.6 (75∼212) minutes. No major postoperative morbidity was observed, and the mean length of hospital stay was 5.86 days. Conclusion: We found that the robotic systems, with magnified stereoscopic three-dimensional vision, elimination of tremor, and the ability to articulate and rotate the instruments, were ideal surgical tools for operation of adrenal lesion. Robotic adrenalectomy may be a safe and effective alternative to traditional laparoscopic adrenalectomy.

#로봇 수술 #부신 절제술 #다빈치 로봇수술시스템 #Robotic surgery #Adrenalectomy #da Vinci system

참고문헌 (17)

참고문헌 신청

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Brunaud L / 2004 / Does robotic adrenalectomy improve patient quality of life when compared to laparoscopic adrenalectomy? / World J Surg 28 : 1180 ~ 1185

Brunaud L / 2008 / Prospective evaluation of 100 robotic-assisted unilateral adrenalectomies / Surgery 144 : 995 ~ 1001

Brunaud L / 2011 / Robot-assisted adrenalectomy / Surg Laparosc Endosc Percutan Tech 21 : 248 ~ 254

Cadiere GB / 2001 / Feasibility of robotic laparoscopic surgery: 146 cases / World J Surg 25 : 1467 ~ 1477