アブストラクト
Japanese
| Title | ロボット支援腎尿管全摘除術と鏡視下腎尿管全摘除術の周術期成績の比較検討 |
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| Subtitle | 原著論文 ロボット手術 |
| Authors | 清水龍太郎, 森實修一, 武中篤 |
| Authors (kana) | |
| Organization | 鳥取大学医学部器官制御外科学講座 腎泌尿器科学分野 |
| Journal | Japanese Journal of Endourology and Robotics |
| Volume | 37 |
| Number | 1 |
| Page | 173-177 |
| Year/Month | 2024 / 4 |
| Article | 原著 |
| Publisher | 日本泌尿器内視鏡・ロボティクス学会 |
| Abstract | 「要旨」【目的】ロボット支援腎尿管全摘除術 (RANU) と鏡視下腎尿管全摘除術 (LNU) の周術期成績を比較検討した. 【対象】2019年4月から2023年8月までにRANUを実施した32例と, 同時期にLNUを実施した44例を対象とし, 2群間の周術期成績を比較検討した. 【結果】手術時間の中央値はRANUとLNUで, それぞれ327分, 341分 (p=0.076) , 出血量の中央値は50.0mL, 82.5mL (p=0.050) , 術後Hb低下は1.8g/dL, 2.2g/dL (p=0.002) , 術後CRP上昇は6.9mg/dL, 7.92mg/L (p=0.013) , リンパ郭清個数の中央値は11個, 7個 (p=0.001) であった. 【結論】RANU導入初期でも慎重に実施する事で, LNUと遜色ない周術期成績で実施すことができた. |
| Practice | 臨床医学：外科系 |
| Keywords | upper tract urothelial carcinoma, robotic-assisted nephroureterectomy, laparoscopic radical nephroureterectomy |
English
| Title | Comparison of perioperative outcomes of laparoscopic and robotic nephroureterectomy in our institution |
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| Subtitle | |
| Authors | Ryutaro Shimizu, Shuichi Morizane, Atsushi Takenaka |
| Authors (kana) | |
| Organization | |
| Journal | Japanese Journal of Endourology and Robotics |
| Volume | 37 |
| Number | 1 |
| Page | 173-177 |
| Year/Month | 2024 / 4 |
| Article | Original article |
| Publisher | Japanese Society of Endourology and Robotics |
| Abstract | [Abstract] [Objective :] We compared the perioperative outcomes of robot-assisted radical nephroureterectomy (RANU) and laparoscopic radical nephroureterectomy (LNU). [Material and Methods :] From April 2019 to August 2023, 32 patients who received RANU and 44 patients who underwent LNU during the same period were included in the study to compare perioperative outcomes between the two groups. [Results :] Median operative time was 327 and 341 minutes for RANU and LNU, respectively (p=0.076), median blood loss was 50.0 and 82.5 mL, respectively (p=0.050), postoperative Hb decreased to 1.8 and 2.2 g/dL, respectively (p=0.002), postoperative CRP increased 6.9 mg/dL and 7.92 mg/L, respectively (p=0.013), and the median number of lymphatic dissections was 11 and 7, respectively (p=0.001). [Conclusion :] Even in the early stages of RANU introduction, careful implementation facilitated perioperative results comparable to those of LNU. |
| Practice | Clinical surgery |
| Keywords | upper tract urothelial carcinoma, robotic-assisted nephroureterectomy, laparoscopic radical nephroureterectomy |
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参考文献
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残りの4件を表示する
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