Park Sung Yul, Cho Kang Su, Ham Won Sik, Choi Hyun Min, Hong Sung Joon, Rha Koon Ho
Department of Urology, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Korea.
J Laparoendosc Adv Surg Tech A. 2008 Jun;18(3):401-4. doi: 10.1089/lap.2007.0138.
In this paper, we report our initial experience of robot-assisted laparoscopic radical cystoprostatectomy (RLRC) with an ileal conduit urinary diversion (ICUD). Our patient was a 59-year-old man presenting with a clinical T4 invasive transitional cell carcinoma of the bladder and prostate. A RLRC was performed with the da Vinci() robot system (Intuitive Surgical, Mountain View, CA), which has a total of seven degrees of motion (six degrees of freedom and grip), and EndoWrist (Intuitive Surgical) instrumentation. The specimen was extracted through the 8-cm-sized incision in the umbilical trocar site. The ICUD was achieved through a removal site of a specimen by an extracorporeal technique. The total operative time was 340 minutes and the estimated blood loss was 600 mL. The pathologic examination showed a stage T4a, with negative surgical margins. A RLRC can be an alternative to the open technique. We are the first group to perform RLRC in Korea and to report on our technique and outcome.
在本文中，我们报告了机器人辅助腹腔镜根治性膀胱前列腺切除术（RLRC）联合回肠导管尿流改道术（ICUD）的初步经验。我们的患者是一名59岁男性，患有临床T4期浸润性膀胱及前列腺移行细胞癌。使用达芬奇（）机器人系统（直观外科公司，加利福尼亚州山景城）进行了RLRC，该系统共有七个运动自由度（六个自由度和抓握）以及EndoWrist（直观外科）器械。标本通过脐部套管针部位的8厘米切口取出。ICUD通过体外技术在标本切除部位完成。总手术时间为340分钟，估计失血量为600毫升。病理检查显示为T4a期，手术切缘阴性。RLRC可以作为开放手术的替代方法。我们是韩国第一组进行RLRC并报告我们的技术及结果的团队。
