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タイトル: 単一術者によるロボット支援前立腺全摘術導入初期70例の検討
その他のタイトル: The Study of Surgical Outcome for Robotic-Assisted Laparoscopic Radical Prostatectomy : Experience of a Single Surgeon with 70 Initial Cases
著者: 小山, 梨恵  KAKEN_name
増井, 仁彦  KAKEN_name
八田原, 広大  KAKEN_name
濵田, 彬弘  KAKEN_name
七里, 泰正  KAKEN_name
著者名の別形: Oyama, Rie
Masui, Kimihiko
Hattahara, Kodai
Hamada, Akihiro
Shichiri, Yasumasa
キーワード: Learning curve
Continence rate
Prostate cancer
Robotic-assisted laparoscopic radical prostatectomy
発行日: 31-Dec-2017
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要 = Acta urologica Japonica
巻: 63
号: 12
開始ページ: 509
終了ページ: 513
抄録: We investigated the surgical outcome for robotic-assisted laparoscopic radical prostatectomy (RALP) withinitial 70 prostate cancer cases performed by a single surgeon between June 2014 and May 2016. The surgeon had a previous experience of more than 400 cases of laparoscopic radical prostatectomy (LRP). Comparative study of the surgical outcome was made between the first 35 patients (group 1) and the second 35 patients (group 2). The console time without lymph node dissection significantly decreased from group 1 to 2 (193 min vs 158 min, p=0.002). Among specific 3 parts of the console operation (part 1 : until the bladder neck transection, part 2 : until the prostate removal and part 3 : urethrovesical anastomosis), duration of parts 1 and 2 similarly decreased witha significant difference of 0. 001 and 0. 002, respectively. Continence recovery rates 1 month after RALP were significantly higher in group 2 than in group 1 (group1 : 48.5% vs group 2 : 74.2%, p=0.02). Between groups 1 and 2, the positive surgical margin rates of both pT2 and pT3 were similar (group 1 : 20. 8 and 50. 0%, group 2 : 17. 2 and 50. 0%, respectively). The perioperative 8 complications (11.4%) were classified into Clavien-Dindo grades 1 and 2. Our surgical outcome of initial 70 RALP cases was considered as comparable to that reported from the high volume centers.
著作権等: 許諾条件により本文は2019/01/01に公開
DOI: 10.14989/ActaUrolJap_63_12_509
URI: http://hdl.handle.net/2433/228961
PubMed ID: 29370661
出現コレクション:Vol.63 No.12

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