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Robot-assisted Laparoscopic Radical Cystectomy

The 10 th Catholic International Urology Symposium, 2008 13:30–14:50 Asian experiences of laparoscopic radical cystectomy. Robot-assisted Laparoscopic Radical Cystectomy. KH Rha Severance Hospital Yonsei University. Robot-assisted Laparoscopic Radical Cystectomy. Advantages

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Robot-assisted Laparoscopic Radical Cystectomy

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  1. The 10th Catholic International Urology Symposium, 2008 13:30–14:50 Asian experiences of laparoscopic radical cystectomy Robot-assisted Laparoscopic Radical Cystectomy KH Rha Severance Hospital Yonsei University

  2. Robot-assisted Laparoscopic Radical Cystectomy Advantages surgeon comfort less learning curve (than lap surgery) advantages of minimally invasive surgery better outcome? Disadvantages lack of an effective force-feedback feature more cumbersome robotic installation relative high cost

  3. Between April 2007 and April 2008 6 men, 3 women RLRC were performed with the da Vinci™ robot system with four robot arms. The specimen was extracted through the subumbilical incision. The ICUD was achieved through a removal site of a specimen by extracorporeal technique. Robot-assisted Laparoscopic Radical Cystectomy in Yonsei

  4. 8cm ● 5mm port ■ 8mm port ▲ 12mm port 2-3cm 8cm 8cm 8cm 8cm 17cm Port Placement

  5. Robot-assisted Laparoscopic Radical Cystectomy in Yonsei

  6. Results Mean operative time: 379.8 ± 77.8 min Mean estimated blood loss: 611.1 ± 431.4 ml No major intraoperative complication One open conversion due to severe adhesion Robot-assisted Laparoscopic Radical Cystectomy in Yonsei

  7. Robot-assisted Laparoscopic Radical Cystectomy in Yonsei

  8. Results Mean number of LN dissected: 16.4 ± 7.7 (range: 12–28) Mean hospital stay: 10.3 ± 2.8 days Mean soft diet start: 5.4 ± 1.7 days Robot-assisted Laparoscopic Radical Cystectomy in Yonsei

  9. Conclusion • Robot-assisted radical cystectomy with pelvic lymph node dissection can be safely performed in patients who are candidates for open cystectomy • Long term oncological results and QOL outcomes will define its position in minimally invasive urologic oncology

  10. Thank you for attention.

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