The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men

• Material Type: 博士論文
• Title: The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men
• Author/Editor: 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
• Author Heading: 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
• Publication, Distribution, etc.: Springer Nature
• Publication Date: 2021-06-03
• Publication Date (W3CDTF): 2021-06-03
• Alternative Title: 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
• Periodical title: Journal of Robotic Surgery
• No. or year of volume/issue: 16 2
• Volume: 16
• Issue: 2
• Pages: 437-444
• ISSN (Periodical Title): ISSN : 1863-2491
• Degree grantor/type: 徳島大学
• Date Granted: 2021-09-09
• Dissertation Number: 甲第3537号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Minimally invasive surgery; Patient-side surgeon; Robot-assisted intracorporeal ileal conduit urinary diversion; Surgical technique
• Target Audience: 一般
• Note (General): 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.
• Format (IMT): application/pdf
• Access Restrictions: インターネット公開
• Rights (production): This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/
• Related Material (DOI): 10.1007/s11701-021-01256-x
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 徳島大学 : 徳島大学機関リポジトリ

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http://repo.lib.tokushima-u.ac.jp/files/public/11/116363/20211001105259185792/k3537_abstract_review.pdf fulltext

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