| ○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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| ○招待 (推奨): |
| ○審査 (推奨): | □ | Peer Review
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| ○カテゴリ (推奨): |
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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. | 高橋 正幸
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| 3. | 大豆本 圭
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| 4. | 津田 恵
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| 5. | 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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| 6. | 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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| 7. | 山本 恭代
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| 8. | 山口 邦久 ([徳島大学.病院.診療科.外科.泌尿器科])
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| 9. | 金山 博臣
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| ○題名 (必須): | □ | (英) The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men (日)
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| ○要約 (任意): | □ | (英) 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. (日)
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| ○キーワード (推奨): | 1. | (英) Cystectomy (日) (読)
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| 2. | (英) Humans (日) (読)
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| 3. | (英) Male (日) (読)
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| 4. | (英) Robotic Surgical Procedures (日) (読)
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| 5. | (英) Robotics (日) (読)
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| 6. | (英) Surgeons (日) (読)
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| 7. | (英) Treatment Outcome (日) (読)
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| 8. | (英) Urinary Bladder Neoplasms (日) (読)
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| 9. | (英) Urinary Diversion (日) (読)
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| ○発行所 (推奨): |
| ○誌名 (必須): | □ | Journal of Robotic Surgery ([Springer])
(pISSN: 1863-2483, eISSN: 1863-2491)
| ○ISSN (任意): | □ | 1863-2491
ISSN: 1863-2483
(pISSN: 1863-2483, eISSN: 1863-2491) Title: Journal of robotic surgeryTitle(ISO): J Robot SurgPublisher: Springer (NLM Catalog)
(Scopus)
(CrossRef)
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| ○巻 (必須): | □ | 16
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| ○号 (必須): | □ | 2
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| ○頁 (必須): | □ | 437 444
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2022年 4月 初日 (令和 4年 4月 初日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.1007/s11701-021-01256-x (→Scopusで検索)
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| ○PMID (任意): | □ | 34081290 (→Scopusで検索)
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| ○備考 (任意): | 1. | (英) Article.ELocationID: 10.1007/s11701-021-01256-x (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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| 3. | (英) KeywordList.Keyword: Minimally invasive surgery (日)
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| 4. | (英) KeywordList.Keyword: Patient-side surgeon (日)
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| 5. | (英) KeywordList.Keyword: Robot-assisted intracorporeal ileal conduit urinary diversion (日)
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| 6. | (英) KeywordList.Keyword: Surgical technique (日)
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