| Item type |
文献 / Documents(1) |
| 公開日 |
2025-02-14 |
| アクセス権 |
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|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
|
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|
関連識別子 |
https://doi.org/10.1111/iju.15580 |
|
|
関連名称 |
10.1111/iju.15580 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
Retroperitoneal cutaneous ureterostomy following radical cystectomy : A multicenter comparative study of robotic versus open surgery |
| タイトル別表記 |
|
|
その他のタイトル |
Retroperitoneal cutaneous ureterostomy |
| 著者 |
佐々木, 雄太郎
Fukuta, Kyotaro
Kadoriku, Fumiya
大豆本, 圭
Shiozaki, Keito
冨田, 諒太郎
楠原, 義人
布川, 朋也
Yanagihara, Yutaka
Nakanishi, Ryoichi
山口, 邦久
山本, 恭代
(井﨑)井崎, 博文
高橋, 正幸
Okamoto, Kenjiro
古川, 順也
|
| 抄録 |
|
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内容記述 |
Introduction: The aim of this study was to evaluate the differences in perioperative outcomes of cutaneous ureterostomy (CUS) between open surgery (open radical cystectomy, ORC) and robot-assisted surgery (robot-assisted radical cystectomy, RARC), including the stent-free rate, readmission rates due to urinary tract infection (UTI), and changes in renal function.
Methods: Between 2005 and 2023, a total of 37 patients underwent CUS following ORC, while 24 patients underwent CUS following RARC. Perioperative outcomes were compared between these two groups.
Results: The patients in the RARC group were significantly older (p = 0.007) and had a significantly higher proportion of high-risk cases with ASA-PS ≥3 (p = 0.002). In addition, RARC was associated with a significantly lower estimated blood loss (p < 0.001) and a reduced transfusion rate (p = 0.003). Postoperative complication rates and the stent-free rate were comparable between the ORC and RARC groups. Throughout a median follow-up period of 2.6 years, rates of readmission due to UTI did not differ significantly between the two groups. Moreover, there were no differences in the change in estimated glomerular filtration rate before and after surgery and the 3-year survival rates were similar across both groups.
Conclusions: CUS following RARC appears to offer a safer alternative compared with CUS following ORC, and the stent-free rates are comparable. The significantly lower estimated blood loss and transfusion rate associated with RARC are particularly favorable for elderly patients, those who are frail, and individuals with multiple comorbidities. |
| キーワード |
|
|
主題 |
open radical cystectomy |
| キーワード |
|
|
主題 |
retroperitoneal cutaneous ureterostomy |
| キーワード |
|
|
主題 |
robot-assisted radical cystectomy |
| 書誌情報 |
en : International Journal of Urology
巻 31,
号 12,
p. 1408-1413,
発行日 2024-09-10
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| 収録物ID |
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収録物識別子タイプ |
PISSN |
|
収録物識別子 |
09198172 |
| 収録物ID |
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|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
14422042 |
| 収録物ID |
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|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11042471 |
| 出版者 |
|
|
出版者 |
Wiley |
| 出版者 |
|
|
出版者 |
Japanese Urological Association |
| 権利情報 |
|
|
権利情報 |
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| EID |
|
|
識別子 |
442975 |
| 言語 |
|
|
言語 |
eng |
iju_31_12_1408.pdf (5.5 MB)
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