2026-03-09T08:23:48Z https://tokushima-u.repo.nii.ac.jp/oai

oai:tokushima-u.repo.nii.ac.jp:02009279 2025-05-29T04:19:55Z 1713853213384:1713853296295:1716267876683:1716268551628

The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men 男性のロボット支援回腸導管造設術において患者側外科医は重要な役割を果たす 佐々木, 雄太郎 ササキ, ユウタロウ Sasaki, Yutaro 佐々木 ササキ Sasaki 雄太郎 ユウタロウ Yutaro 50325255 高橋, 正幸 タカハシ, マサユキ Takahashi, Masayuki 高橋 タカハシ Takahashi 正幸 マサユキ Masayuki フクタ, キョウタロウ フクタ, キョウタロウ Fukuta, Kyotaro シオザキ, ケイト シオザキ, ケイト Shiozaki, Keito 大豆本, 圭 ダイズモト, ケイ Daizumoto, Kei 大豆本 ダイズモト Daizumoto 圭 ケイ Kei オザキ, ケイスケ オザキ, ケイスケ Ozaki, Keisuke ウエノ, ヨシテル ウエノ, ヨシテル Ueno, Yoshiteru 津田, 恵 ツダ, メグミ Tsuda, Megumi 津田 ツダ Tsuda 恵 メグミ Megumi 楠原, 義人 クスハラ, ヨシト Kusuhara, Yoshito 楠原 クスハラ Kusuhara 義人 ヨシト Yoshito 70564342 布川, 朋也 フカワ, トモヤ Fukawa, Tomoya 布川 フカワ Fukawa 朋也 トモヤ Tomoya 山本, 恭代 ヤマモト, ヤスヨ Yamamoto, Yasuyo 山本 ヤマモト Yamamoto 恭代 ヤスヨ Yasuyo 90464346 山口, 邦久 ヤマグチ, クニヒサ Yamaguchi, Kunihisa 山口 ヤマグチ Yamaguchi 邦久 クニヒサ Kunihisa 00335811 井﨑, 博文 イザキ, ヒロフミ Izaki, Hirofumi 井﨑 イザキ Izaki 博文 ヒロフミ Hirofumi カンダ, カズヤ カンダ, カズヤ Kanda, Kazuya 金山, 博臣 カナヤマ, ヒロオミ Kanayama, Hiro-omi 金山 カナヤマ Kanayama 博臣 ヒロオミ Hiro-omi open access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ Minimally invasive surgery Patient-side surgeon Robot-assisted intracorporeal ileal conduit urinary diversion Surgical technique The influence of the console surgeon on the feasibility and outcome of various robot-assisted surgeries has been evaluated. These variables may be partially affected by the skills of the patient-side surgeon (PSS), but this has not been evaluated using objective data. This study aimed to describe the surgical techniques of the PSS in robot-assisted radical cystectomy (RARC) and intracorporeal ileal conduit (ICIC) urinary diversion and objectively examine the changes in surgical outcomes with increasing PSS experience. During a 3-year period, 28 men underwent RARC and ICIC urinary diversion. Clinical characteristics and surgical outcomes were compared between patients who underwent surgery early (first half group) or late in the study period (second half group). The pre-docking incision enabled easy specimen removal. The glove port technique widened the working space of the PSS. The stay suture allowed the PSS to control the distal portion of the conduit, facilitating the passage of the ureteral stents. During stoma creation, pneumoperitoneum pressure was lost by opening the abdominal cavity. To overcome this problem, the robotic arm was used to lift the abdominal wall to maintain the surgical field and facilitate the PSS procedure. Compared with the first half group, the second half group had significantly shorter times for urinary diversion (202 min vs 148 min, p < 0.001), ileal isolation and anastomosis (73 min vs 45 min, p < 0.001), and stenting (23.0 min vs 6.5 min, p < 0.001). As the experience of the PSS increased, the time of the PSS procedures decreased. Springer Nature 2021-06-03 eng doctoral thesis NA 389091 https://tokushima-u.repo.nii.ac.jp/records/2009279 https://doi.org/10.1007/s11701-021-01256-x 10.1007/s11701-021-01256-x 18632491 Journal of Robotic Surgery 16 2 437 444 甲医第1504号 博士（医学） 2021-09-09 徳島大学 https://tokushima-u.repo.nii.ac.jp/record/2009279/files/k3537_abstract_review.pdf application/pdf 238 KB 2021-10-13 https://tokushima-u.repo.nii.ac.jp/record/2009279/files/k3537_fulltext.pdf application/pdf 1000 KB 2021-10-13