지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 221 - 228 (8page)
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초록· 키워드
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Purpose: To describe a novel modification to robot-assisted partial cystectomy (RAPC) that allows for intraoperative surgical margin assessment by bimanual-examination and frozen-section analysis. Materials and Methods: A total of 7 patients underwent RAPC at a single tertiary-care institution between 2008 and 2013. The technique evolved over the study-period and permitted real-time intraoperative surgical margin evaluation in the last 5 patients via bimanual-examination and frozen-section analysis, utilizing the GelPOINT platform (a hand-assist device). The GelPOINT platform was placed through a 4- to 5-cm vertical supraumbilical incision and allowed for rapid retrieval of the bladder specimen without compromising the pneumoperitoneum or prolonging the operative time. Perioperative, oncological and functional outcomes were evaluated; all patients had a minimum 12-month follow-up. At the time of last follow-up, a cross-sectional survey of patients was performed to evaluate regret/satisfaction utilizing validated questionnaires. Results: The mean age was 72.5 years; 71.4% of the patients were men (n=5). All patients underwent RAPC for a malignant indication. The mean operative and console times were 291 and 217 minutes, respectively. No patient had a positive surgical margin. Mean length-of-stay was 1.7 days. At a median follow-up of 38.9 months, 1 patient experienced a local recurrence 6 months postsurgery. The only mortality was secondary to Lewy-body disease, in the same patient, 1 year postoperatively. Patient assessment of regret and satisfaction indicated 0% regret and 0% dissatisfaction. Conclusions: The 'modified' technique of RAPC is technically feasible, safe, and reproducible; further, RAPC leads to favorable oncological, functional and quality-of-life outcomes in patients eligible for partial cystectomy.
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참고문헌 (21)
참고문헌 신청
Siegel R / 2013 / Cancer statistics, 2013 / CA Cancer J Clin 63:11~30
Vaidya A / 2001 / De novo muscle invasive bladder cancer: is there a change in trend? / J Urol 165:47~50
Ghoneim MA / 1997 / Radical cystectomy for carcinoma of the bladder:critical evaluation of the results in 1,026 cases / J Urol 158:393~399
Kassouf W / 2006 / Partial cystectomy for muscle invasive urothelial carcinoma of the bladder: a contemporary review of the M. D. Anderson Cancer Center experience / J Urol 175:2058~2062
Ferzli G / 1993 / Laparoscopic partial cystectomy for vesical endometrioma / J Laparoendosc Surg 3:161~165
Vaidya A / 2001 / De novo muscle invasive bladder cancer: is there a change in trend? / J Urol 165:47~50
Ghoneim MA / 1997 / Radical cystectomy for carcinoma of the bladder:critical evaluation of the results in 1,026 cases / J Urol 158:393~399
Kassouf W / 2006 / Partial cystectomy for muscle invasive urothelial carcinoma of the bladder: a contemporary review of the M. D. Anderson Cancer Center experience / J Urol 175:2058~2062
Ferzli G / 1993 / Laparoscopic partial cystectomy for vesical endometrioma / J Laparoendosc Surg 3:161~165
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