Dissertation/ Thesis
The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men 2
| العنوان: | The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men 2 |
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| المؤلفون: | Sasaki, Yutaro, Takahashi, Masayuki, Fukuta, Kyotaro, Shiozaki, Keito, Daizumoto, Kei, Ozaki, Keisuke, Ueno, Yoshiteru, Tsuda, Megumi, Kusuhara, Yoshito, Fukawa, Tomoya, Yamamoto, Yasuyo, Yamaguchi, Kunihisa, Izaki, Hirofumi, Kanda, Kazuya, Kanayama, Hiroomi |
| المصدر: | Journal of Robotic Surgery. 16 2 |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Minimally invasive surgery, Patient-side surgeon, Robot-assisted intracorporeal ileal conduit urinary diversion, Surgical technique |
| Contents Note: | The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men 男性のロボット支援回腸導管造設術において患者側外科医は重要な役割を果たす |
| نوع الوثيقة: | 博士論文 |
| وصف الملف: | |
| اللغة: | English |
| DOI: | 10.1007/s11701-021-01256-x |
| URL الوصول: | https://ndlsearch.ndl.go.jp/books/R100000039-I11864183 |
| Degree: | 博士（医学） -- 徳島大学 |
| ملاحظات: | 収集根拠 : 博士論文（自動収集） 資料形態 : テキストデータ コレクション : 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文 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. |
| رقم الانضمام: | edsdlc.oai:ndlsearch.ndl.go.jp:R100000039.I11864183 |
| قاعدة البيانات: | National Diet Library Digital Collections - 国立国会図書館デジタルコレクション |
| DOI: | 10.1007/s11701-021-01256-x |
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