| Item type |
文献 / Documents(1) |
| 公開日 |
2021-10-13 |
| アクセス権 |
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|
アクセス権 |
open access |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_db06 |
|
資源タイプ |
doctoral thesis |
| 出版社版DOI |
|
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|
関連識別子 |
https://doi.org/10.1007/s11701-021-01256-x |
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|
関連名称 |
10.1007/s11701-021-01256-x |
| 出版タイプ |
|
|
出版タイプ |
NA |
|
出版タイプResource |
http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |
| タイトル |
|
|
タイトル |
The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men |
| タイトル別表記 |
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その他のタイトル |
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 |
| 著者 |
佐々木, 雄太郎
高橋, 正幸
フクタ, キョウタロウ
シオザキ, ケイト
大豆本, 圭
オザキ, ケイスケ
ウエノ, ヨシテル
津田, 恵
楠原, 義人
布川, 朋也
山本, 恭代
山口, 邦久
井﨑, 博文
カンダ, カズヤ
金山, 博臣
|
| 抄録 |
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内容記述 |
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. |
| キーワード |
|
|
主題 |
Minimally invasive surgery |
| キーワード |
|
|
主題 |
Patient-side surgeon |
| キーワード |
|
|
主題 |
Robot-assisted intracorporeal ileal conduit urinary diversion |
| キーワード |
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|
主題 |
Surgical technique |
| 書誌情報 |
en : Journal of Robotic Surgery
巻 16,
号 2,
p. 437-444,
発行日 2021-06-03
|
| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
18632491 |
| 出版者 |
|
|
出版者 |
Springer Nature |
| 備考 |
|
|
値 |
内容要旨・審査要旨・論文本文の公開
本論文は，著者Yutaro Sasakiの学位論文として提出され，学位審査・授与の対象となっている。
学位授与者所属 : 徳島大学大学院医科学教育部（医学専攻） |
| 権利情報 |
|
|
権利情報 |
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/ |
| EID |
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識別子 |
389091 |
| 言語 |
|
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言語 |
eng |
| 報告番号 |
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|
学位授与番号 |
甲第3537号 |
| 学位記番号 |
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|
値 |
甲医第1504号 |
| 学位授与年月日 |
|
|
学位授与年月日 |
2021-09-09 |
| 学位名 |
|
|
学位名 |
博士（医学） |
| 学位授与機関 |
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|
学位授与機関名 |
徳島大学 |
k3537_abstract_review.pdf (238 KB)
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