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Efficacy and Safety of Robotic Procedures Performed Using the da Vinci Robotic Surgical System at a Single Institute in Korea: Experience with 10000 Cases

Yonsei Medical Journal 2018년 59권 8호 p.975 ~ 981
KMID : 0311120180590080975
 ( Koh Dong-Hoon ) - Yonsei University College of Medicine Urological Science Institute Department of Urology

 ( Jang Won-Sik ) - Yonsei University College of Medicine Urological Science Institute Department of Urology
 ( Park Jae-Won ) - National Health Insurance Service Ilsan Hospital Department of Urology
 ( Ham Won-Sik ) - Yonsei University College of Medicine Urological Science Institute Department of Urology
 ( Han Woong-Kyu ) - Yonsei University College of Medicine Urological Science Institute Department of Urology
 ( Rha Koon-Ho ) - Yonsei University College of Medicine Urological Science Institute Department of Urology
 ( Choi Young-Deuk ) - Yonsei University College of Medicine Urological Science Institute Department of Urology

Abstract

Purpose: To evaluate the efficacy and safety of robotic procedures performed using the da Vinci Robotic Surgical System at a single institute.

Materials and Methods: We analyzed all robotic procedures performed at Severance Hospital, Yonsei University Health System (Seoul, Korea). Reliability and mortality rates of the robotic surgeries were also investigated.

Results: From July 2005 to December 2013, 10267 da Vinci robotic procedures were performed in seven different departments by 47 surgeons at our institute. There were 5641 cases (54.9%) of general surgery, including endocrine (38.0%), upper (7.7%) and lower gastrointestinal tract (7.5%), hepato-biliary and pancreatic (1.2%), and pediatric (0.6%) surgeries. Urologic surgery (33.0%) was the second most common, followed by otorhinolaryngologic (7.0%), obstetric and gynecologic (3.2%), thoracic (1.5%), cardiac (0.3%), and neurosurgery (0.1%). Thyroid (40.8%) and prostate (27.4%) procedures accounted for more than half of all surgeries, followed by stomach (7.6%), colorectal (7.5%), kidney and ureter (5.1%), head and neck (4.0%), uterus (3.2%), thoracic (1.5%), and other (2.9%) surgeries. Most surgeries (94.5%) were performed for malignancies. General and urologic surgeries rapidly increased after 2005, whereas others increased slowly. Thyroid and prostate surgeries increased rapidly after 2007. Surgeries for benign conditions accounted for a small portion of all procedures, although the numbers thereof have been steadily increasing. System malfunctions and failures were reported in 185 (1.8%) cases. Mortality related to robotic surgery was observed for 12 (0.12%) cases.

Conclusion: Robotic surgeries have increased steadily at our institution. The da Vinci Robotic Surgical System is effective and safe for use during surgery.
KeyWords

Robotic surgical procedure, efficacy, safety
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed