| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
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タイトル |
Short-term Results of Robot-assisted Rectal Cancer Surgery |
| 言語 |
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言語 |
eng |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
|
主題 |
Robotic Surgery |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
|
主題 |
Rectal cancer |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Short-term outcome |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
Nakamura, Takatoshi
Ihara, Keisuke
Takayanagi, Masashi
Fujita, Jyunki
Nakajima, Masanobu
Morita, Shinji
Yamaguchi, Satoru
Kojima, Kazuyuki
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| 著者所属 |
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First Department of Surgery Dokkyo medical University |
| 著者所属 |
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First Department of Surgery Dokkyo medical University |
| 著者所属 |
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First Department of Surgery Dokkyo medical University |
| 著者所属 |
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First Department of Surgery Dokkyo medical University |
| 著者所属 |
|
|
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First Department of Surgery Dokkyo medical University |
| 著者所属 |
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First Department of Surgery Dokkyo medical University |
| 著者所属 |
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Department of Surgery Dokkyo Medical University Nikko Medical center |
| 著者所属 |
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First Department of Surgery Dokkyo medical University |
| 書誌情報 |
Dokkyo Journal of Medical Sciences
巻 48,
号 3,
p. 161-170,
発行日 2021-10-25
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| 要旨 |
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内容記述タイプ |
Other |
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内容記述 |
Aim：To clarify the short-term results of robot-assisted rectal cancer surgery performed at our department.
Materials and Methods：Twenty-five patients with rectal cancer who underwent robot-assisted surgery at our department between May 2020 and March 2021 were enrolled in this study. The safety and short-term outcomes of this procedure were evaluated.
Results：The mean age of the patients was 69.2±9.3 years（18 men and 7 women）. The locations of cancer included the sigmoid region of the rectum（8 cases）, the upper rectum（5 cases）, the lower rectum（10 cases）, and the anal canal（2 cases）. The surgical techniques were as follows：anterior rectal resection（14 cases）（temporary ileostomy in 4 cases：29％）, Hartmann’s operation（4 cases）, and perineal rectal amputation（7 cases）. The median operation time was 306（195-622）minutes, with 40（1-460）ml of blood loss and 169（85-377）minutes of console operation time. There were no cases of conversion to open surgery. Preoperative treatment was performed in 7 patients. The pathological stages were as follows：stage I：3 cases；stage II：9 cases；stage III：9 cases；stage IV：3 cases. The median number of dissected lymph nodes was 11（2-24）, and the tumor diameter was 44.8 ±18.6 mm. Postoperative complications were observed in 3 patients（12％）：paralytic bowel obstruction（1 case）, outlet syndrome（1 case）, and enteritis（1 case）. No suture failure, sexual dysfunction, or urinary dysfunction was observed. The median postoperative hospital stay was 14（8-69）days.
Conclusion：Robot-assisted rectal cancer surgery is safe and effective in terms of short-term outcomes. In the future, it will be necessary to improve safety further by standardizing each technique and to develop an education system from a perspective different from that of laparoscopy. It is considered necessary to further investigate the recurrence rate and survival rate by continuing this method for a long period of time. |
| 記事種別 |
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Original |
| 出版者 |
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出版者 |
獨協医学会 |
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
03855023 |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA00629581 |
DJMS-48-3-Nakamura-本文 (416.9 kB)
