Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy

• Material Type: 博士論文
• ISSN: 1471-2490
• Title: Significant impact of three-dimensional volumetry of perinephric fat on the console time during robot-assisted partial nephrectomy
• Volume: 19
• Author/Editor: 本山, 大輔
• Author Heading: 本山, 大輔
• Publication, Distribution, etc.: Springer Nature
• Publication Date: 2019-12-12
• Publication Date (W3CDTF): 2019-12-12
• Alternative Title: 腎周囲脂肪3次元容量分析がロボット支援下腎部分切除術におけるコンソール時間に及ぼす重要な影響
• Periodical title: BMC Urology
• Degree grantor/type: 浜松医科大学
• Date Granted: 2021-01-22
• Date Granted (W3CDTF): 2021-01-22
• Dissertation Number: 乙第574号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 乙第574号
• Text Language Code: eng
• Subject Heading: Three-dimensional volumetry; Perinephric fat; Robot-assisted partial nephrectomy; Mayo adhesive probability score
• Target Audience: 一般
• Note (General): doctoral; 医学系研究科; Background: To assess the impact of volumetry of perinephric fat (PNF) on the perioperative outcomes of robotassisted partial nephrectomy (RAPN).Methods: Between 2016 and 2019, a single surgeon performed RAPN for 128 patients with clinical T1a-b renal tumors at our institution, and the 70 most recent patients were included in this study to minimize the effects of surgical experience. PNF was defined as a fatty area around the kidney within the anatomical structures, including the lateroconal fascia, fusion fascia, psoas muscle, lumbar quadrate muscle and diaphragm, and its volume was calculated based on reconstructed three-dimensional computed tomography images using the SYNAPSE VINCENT system.Results: In this series, the trifecta and MIC (margin, ischemia and complications) score system outcomes were achieved in 69 (98.6%) and 64 patients (91.4%), respectively. The median PNF volume in the 70 patients was 166.05 cm3, which was significantly correlated with both the body mass index (BMI) and Mayo adhesive probability (MAP) score (correlation coefficient=0.68 and 0.74, respectively). There was no significant difference in the R.E.N.A.L. nephrometry score, PNF volume or console time during RAPN among 5 groups consisting of 14 consecutive patients. Of several factors examined, the console time was significantly affected by the sex, MAP score and PNF volume, and only the PNF volume was independently associated with the console time.Conclusion: Even if performed by an experienced robotic surgeon beyond the initial learning curve, the PNF volume may influence the console time during RAPN.
• DOI: info:doi/10.1186/s12894-019-0567-0; https://doi.org/info:doi/10.1186/s12894-019-0567-0
• Persistent ID (NDL): info:ndljp/pid/11710995; https://dl.ndl.go.jp/pid/11710995
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 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; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2021-08-09T17:15:52+09:00
• Date Created (W3CDTF): 2021-06-08
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10271/00003858; https://hama-med.repo.nii.ac.jp/records/3729
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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