| Item type |
文献 / Documents(1) |
| 公開日 |
2025-02-14 |
| アクセス権 |
|
|
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 |
|
|
|
関連識別子 |
https://doi.org/10.1007/s00345-024-05300-x |
|
|
関連名称 |
10.1007/s00345-024-05300-x |
| 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 |
Cutaneous ureterostomy following robot-assisted radical cystectomy : a multicenter comparative study of transperitoneal versus retroperitoneal techniques |
| 著者 |
佐々木, 雄太郎
山本, 恭代
Fukuta, Kyotaro
Izumi, Kazuyoshi
Kadoriku, Fumiya
大豆本, 圭
Shiozaki, Keito
冨田, 諒太郎
楠原, 義人
布川, 朋也
Yanagihara, Yutaka
山口, 邦久
井﨑, 博文
高橋, 正幸
Okamoto, Kenjiro
Yamanaka, Masahito
古川, 順也
|
| 抄録 |
|
|
内容記述 |
Background: The aim of this study was to evaluate the differences in perioperative outcomes between transperitoneal and retroperitoneal techniques in cutaneous ureterostomy (CUS).
Methods: Between 2018 and 2023, 55 patients underwent CUS following robot-assisted radical cystectomy. Among the 55 patients, we compared 33 patients who underwent transperitoneal CUS (t-CUS) and 22 who underwent retroperitoneal CUS (r-CUS).
Results: Compared with the r-CUS group, the t-CUS group had significantly shorter operative times (p < 0.001); significantly less estimated blood loss (p < 0.001); and significantly lower incidence of complications (Clavien–Dindo classification grade ≤ 2) within 30 days (p = 0.005). Unexpectedly, the incidence of ileus within 30 days was lower, though the difference was not statistically significant (p = 0.064). During the median follow-up period of 24.3 months, no ileus was observed in either group after 30 days postoperatively. There was no significant difference in the stent-free rate between the groups (p = 0.449). There were also no significant differences in the rates of change in estimated glomerular filtration rate from preoperatively at 3, 6, 12, and 24 months postoperatively between the groups (p = 0.590, p = 0.627, p = 0.741, and p = 0.778, respectively).
Conclusions: Compared with r-CUS, t-CUS was associated with a shorter operative time and lower incidence of perioperative complications, including gastrointestinal complications. We believe that t-CUS can be performed safely and effectively. |
| キーワード |
|
|
主題 |
Cutaneous ureterostomy |
| キーワード |
|
|
主題 |
Robot-assisted radical cystectomy |
| キーワード |
|
|
主題 |
Bladder cancer |
| キーワード |
|
|
主題 |
Transperitoneal technique |
| キーワード |
|
|
主題 |
Retroperitoneal technique |
| 書誌情報 |
en : World Journal of Urology
巻 42,
号 1,
p. 591,
発行日 2024-10-23
|
| 収録物ID |
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|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
14338726 |
| 収録物ID |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
07244983 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA10638523 |
| 出版者 |
|
|
出版者 |
Springer Nature |
| 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 |
|
|
識別子 |
442972 |
| 言語 |
|
|
言語 |
eng |
wju_42_1_591.pdf (1.2 MB)
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