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
- 2018.1
- 수록면
- 1 - 4 (4page)
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초록· 키워드
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Objective: Upper paraaortic lymph node dissection (UPALD) to the infrarenal level is one of the most challenging robotic procedures. Because robotic system has the limitation in robotic arm mobility. This surgical video introduces a novel robotic approach, lower pelvic port placement (LP3), to perform optimally and simultaneously both UPALD and pelvic procedures in gynecologic cancer patients using da Vinci Xi system. Methods: The patient presented with high-grade endometrial cancer. She underwent robotic surgical staging operation. For the setup of the LP3, a line was drown between both anterior superior iliac spines. At 3 cm below this line, another line was drown and four robotic ports were placed on this line. Results: After paraaortic lymph node dissection (PALD) was completed, the boom of robotic system was rotated 180° to retarget for the pelvic lateral displacement. Robotic ports were placed and docked again. The operation was completed robotically without any complication. Conclusion: The LP3 was feasible for performing simultaneously optimal PALD as well as procedures in pelvic cavity in gynecologic cancer patients. The advantage of LP3 technique is the robotic port placement that affords for multi-quadrant surgery, abdominal and pelvic dissection. The LP3 is facilitated by utilizing advanced technology of Xi system, including the patient clearance function, the rotating boom, and ‘port hopping’ that allows using every ports for a camera. The LP3 will enable surgeons to extend the surgical indication of robotic surgical system in the gynecologic oncologic field.
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등록된 정보가 없습니다.
참고문헌 (4)
참고문헌 신청
Enrico Vizza / 2018 / Robotic single site radical hysterectomy plus pelvic lymphadenectomy in gynecological cancers / Journal of Gynecologic Oncology 29(1):1~10
Magrina JF / 2010 / Robotic transperitoneal infrarenal aortic lymphadenectomy: technique and results / Int J Gynecol Cancer 20:184~187
김태중 / 2015 / Robotic high para-aortic lymph node dissection with high port placement using same port for pelvic surgery in gynecologic cancer patients / Journal of Gynecologic Oncology 26(3):222~226
James JA / 2015 / Robotic transperitoneal infrarenal aortic lymphadenectomy in early-stage endometrial cancer / Gynecol Oncol 136:285~292
Magrina JF / 2010 / Robotic transperitoneal infrarenal aortic lymphadenectomy: technique and results / Int J Gynecol Cancer 20:184~187
김태중 / 2015 / Robotic high para-aortic lymph node dissection with high port placement using same port for pelvic surgery in gynecologic cancer patients / Journal of Gynecologic Oncology 26(3):222~226
James JA / 2015 / Robotic transperitoneal infrarenal aortic lymphadenectomy in early-stage endometrial cancer / Gynecol Oncol 136:285~292
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