| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○審査 (推奨): | □ | Peer Review
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| ○著者 (必須): | 1. | 佐々木 雄太郎 ([徳島大学.病院.先端医科医療開発研究プロジェクト]/[徳島大学.病院.診療科.外科.泌尿器科])
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| 2. | 大豆本 圭
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| 3. | 津田 恵
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| 4. | 楠原 義人 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.泌尿器科学]/[徳島大学.病院.診療科.外科.泌尿器科])
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| 5. | 布川 朋也 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.泌尿器科学]/[徳島大学.病院.診療科.外科.泌尿器科])
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| 6. | 山口 邦久 ([徳島大学.病院.診療科.外科.泌尿器科])
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| 7. | 山本 恭代
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| 8. | 金山 博臣
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| ○題名 (必須): | □ | (英) Efficacy of the Mercedes-Benz closure technique for vaginal reconstruction in female robot-assisted radical cystectomy (日)
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| ○要約 (任意): | □ | (英) Vaginal reconstruction using the posterior vaginal wall is required following radical cystectomy in women with resection of the uterus, adnexa, and anterior vaginal wall. Roll closure and clamshell closure are two widely known techniques. Of these, clamshell closure is recommended because roll closure has a high likelihood of breakdown or a resultant canal that is too narrow for sexual intercourse. In clamshell closure, however, folding the posterior vaginal wall anteriorly can be difficult. Therefore, we devised Mercedes-Benz closure, in which the vaginal wall is sutured from three directions to form a Mercedes-Benz shape, for anastomosis without tension on the vaginal wall. The present study was performed to investigate the efficacy of this alternative surgical technique for vaginal reconstruction. Twenty-six patients who underwent vaginal reconstruction following robot-assisted radical cystectomy were divided into two groups: 15 underwent clamshell closure and 11 underwent Mercedes-Benz closure. The patients' characteristics and surgical outcomes were compared between the two groups. There were no significant differences in clinical characteristics, including age, body mass index, and prior abdominal surgery between the two groups. The median vaginal reconstruction time tended to be longer in the Mercedes-Benz closure group than in the clamshell closure group (35.0 vs. 27.0 min, p = 0.102). No complications associated with vaginal reconstruction were identified. The surgical outcomes were comparable between Mercedes-Benz closure and clamshell closure. If vaginal reconstruction with clamshell closure is difficult, Mercedes-Benz closure is a valuable alternative technique. (日)
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| ○キーワード (推奨): | 1. | (英) Humans (日) (読)
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| 2. | 女性 (female)
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| 3. | (英) Cystectomy (日) (読)
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| 4. | ロボティクス (robotics)
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| 5. | (英) Urinary Bladder Neoplasms (日) (読)
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| 6. | (英) Vagina (日) (読)
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| 7. | (英) Lymph Node Excision (日) (読)
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| 8. | (英) Treatment Outcome (日) (読)
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| 9. | (英) Robotic Surgical Procedures (日) (読)
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| ○発行所 (推奨): |
| ○誌名 (必須): | □ | Asian Journal of Endoscopic Surgery (日本内視鏡外科学会/Asia Endosurgery Task Force/Endoscopic and Laparoscopic Surgeons of Asia)
(pISSN: 1758-5910, eISSN: 1758-5902)
| ○ISSN (任意): | □ | 1758-5910
ISSN: 1758-5902
(pISSN: 1758-5902, eISSN: 1758-5910) Title: Asian journal of endoscopic surgeryTitle(ISO): Asian J Endosc SurgSupplier: Asia Endosurgery Task ForcePublisher: Wiley Publishing (NLM Catalog)
(医中誌Web)
(Wiley)
(Scopus)
(CrossRef)
(Scopus information is found. [need login])
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| ○巻 (必須): | □ | 16
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| ○号 (必須): | □ | 1
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| ○頁 (必須): | □ | 23 27
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2022年 7月 17日 (令和 4年 7月 17日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.1111/ases.13109 (→Scopusで検索)
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| ○PMID (任意): | □ | 35842843 (→Scopusで検索)
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| ○CRID (任意): |
| ○Scopus (任意): | 1. | 2-s2.0-85145491982
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| ○備考 (任意): | 1. | (英) Article.ELocationID: 10.1111/ases.13109 (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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| 3. | (英) KeywordList.Keyword: Mercedes-Benz closure technique (日)
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| 4. | (英) KeywordList.Keyword: female robot-assisted radical cystectomy (日)
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| 5. | (英) KeywordList.Keyword: vaginal reconstruction (日)
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