Hanyang Med Rev.  2016 Nov;36(4):215-224. 10.7599/hmr.2016.36.4.215.

Ten-year Experience of the da Vinci Robotic Surgery At Severance Yonsei University Hospital in Korea

• Lee WJ
• Severance Robot & MIS Center

• KMID: 2361195
• DOI: http://doi.org/10.7599/hmr.2016.36.4.215

Abstract

Our hospital has started laparoscopic cholecystectomy in 1991, and thereafter many surgeons have been trained in the era of laparoscopic and minimally invasive surgery. Since then numerous procedures have been applied for laparoscopic surgery, and many patients have benefited as a result. We have performed the first automated surgery in Korea using the Automated Endoscopic System for Optimal Positioning (AESOP) in June, 1996 [1]. With the help of Inbae Yoon's inspiration [2] and donation, our hospital has started the "I.B. Yoon Multi-Specialty Endoscopic Research & Training Center" in 1998. We then started the "Severance Robot and Minimally Invasive Surgery Center" in March 2005. These infrastructures enables us the expansion of laparoscopic surgery and inspires many surgeons to understand the principles and equipments of laparoscopic and robotic surgery. We performed the first robotic surgery using the da Vinci system in July, 2005. During a 10 years period after introducing the da Vinci surgical system in 2005 we have performed more than 15000 cases of robotic surgery successfully. With collaboration between medicine and robotic engineering, we are now developing our own version of Korean robotic system.

Keyword

da Vinci surgical system; Laparoscopic surgery; Robotic surgery

MeSH Terms

Cholecystectomy, Laparoscopic
Cooperative Behavior
Humans
Korea*
Laparoscopy
Minimally Invasive Surgical Procedures
Surgeons

Figure

• 

  Fig. 1 Picture of one side of stereoscopic laparoscope image (upper) and the remote masters (surgeon console) with surgeon's both hand manipulate the masters (lower) during robotic cholecystectomy using da Vinci surgical system

• 

  Fig. 2 Overview picture of da Vinci Si surgical system (http://www.intuitivesurgical.com/products/davinci_surgicalsystem/da-vinci-si-surgical-system.aspx)

• 

  Fig. 3 Diagram of Yoon's tubal ring [2]

• 

  Fig. 4 Picture that was taken in front of training center in America (May, 2005) (From left to right; Woong-Youn Chung, Woo-Jin Hyung, , Koon-Ho Rha, Woo-Jung Lee, Instructor of training center, Hyun-Jung Song, Youn-Ah Lee)

• 

  Fig. 5 Evolution of da Vinci Technology (http://www.intuitivesurgical.com/products/davinci_surgicalsystem/da-vinci-si-surgical-system.aspx)

• 

  Fig. 6 Number of da Vinci system installation in the world until 2015. (http://www.intuitivesurgical.com/products/davinci_surgicalsystem/da-vinci-si-surgical-system.aspx)

• 

  Fig. 7 Robotic Hepato-Bilio-Pancreatic Surgery in YUHS

• 

  Fig. 8 Robotic HBP surgery in Yonsei University CP: central pancreatectomy, SpDP :spleen preserving distal pancreatectomy PPPD: pylorus preserving pancreato-duodenectomy DPS: distal pancreato-splenectomy

• 

  Fig. 9 History of Surgical Robot Development of Meere Company Korea

Reference

1. Lee WJ, Hyung WJ, Chung WY, Rha KH, Kim YT, Song HJ. Current Experiences with robotic surgery at Severance Hospital, Yonsei University in Korea. Asian J Endosc Surg. 2010; 3:8–13.

2. Yoon I, King TM. A preliminary and intermediate report on a new laparoscopic tubal ring procedure. J Reprod Med. 1975; 15:54–56.

3. Sackier JM. Minimally Invasive Surgery. New York: McGrow-Hill;1993. p. 213–219.

4. Oddsdottir M, Birgisson G. Primer of Robotic & Telerobotic Surgery. Philadelphia: Lippincott Williams & Wilkins;2004. p. 35–41.

5. Could JC, Melvin WC. Mastery of Endoscopic and laparoscopic Surgery. 3rd edn. Philadelphia: Lippincott Williams & Wilkins;2009. p. 48–54.

6. Kang CM, Chi HS, Hyeung WJ, Kim KS, Choi JS, Lee WJ, et al. The first Korean experience of telemanipulative robot-assisted laparoscopic cholecystectomy using the da Vinci system. Yonsei Med J. 2007; 48:540–545.