Comparison of robot-assisted partial nephrectomy with soft coagulation and double-layer technique for complex and non-complex tumors

• Material Type: 博士論文
• Title: Comparison of robot-assisted partial nephrectomy with soft coagulation and double-layer technique for complex and non-complex tumors
• Author/Editor: Shiozaki, Keito; Izumi, Kazuyoshi; Sasaki, Yutaro; Kusuhara, Yoshito; Fukawa, Tomoya; Yamamoto, Yasuyo; Yamaguchi, Kunihisa; Izaki, Hirofumi; Takahashi, Masayuki; Kawanishi, Yasuo; Kanayama, Hiroomi
• Author Heading: Shiozaki, Keito; Izumi, Kazuyoshi; Sasaki, Yutaro; Kusuhara, Yoshito; Fukawa, Tomoya; Yamamoto, Yasuyo; Yamaguchi, Kunihisa; Izaki, Hirofumi; Takahashi, Masayuki; Kawanishi, Yasuo; Kanayama, Hiroomi
• Publication, Distribution, etc.: Wiley|Japanese Urological Association
• Publication Date: 2022-11-30; 30 3
• Publication Date (W3CDTF): 2022-11-30
• Alternative Title: 高難度症例および非高難度症例に対するソフト凝固を用いたロボット支援腎部分切除術と二層縫合によるロボット支援腎部分切除術との比較; RAPN suturing technique for complex tumors
• Degree grantor/type: 徳島大学
• Date Granted: 2023-01-26
• Date Granted (W3CDTF): 2023-01-26
• Dissertation Number: 甲第3671号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: partial nephrectomy; renal tumors; robot-assisted; complex tumors; soft coagulation; robotic-assisted
• Target Audience: 一般
• Note (General): Objectives: To compare the postoperative outcomes of robot-assisted partial nephrectomy when only the inner layer is sutured (single-layer technique with soft coagulation) with those when sutures are placed in the inner and outer layers (double-layer technique) in patients with and without complex renal tumors.Methods: This retrospective three-institution study included 371 patients with renal tumors who underwent robot-assisted partial nephrectomy with a double-layer technique or a single-layer technique with soft coagulation. Tumors that were cT1b, completely embedded, located in the renal portal, or had a RENAL score of ≥10 were considered complex. Relevant data were collected from hospital records. Propensity score matching was performed to minimize selection bias.Results: Propensity score matching created 83 patient pairs with non-complex tumors and 32 with complex tumors. Regardless of tumor complexity, there was no significant difference in operation time, console time, warm ischemia time, positive surgical margin rate, or length of hospital stay between the double-layer and single-layer groups. Although Clavien–Dindo grade I–II urinomas not requiring intervention were significantly more common in the single-layer group regardless of tumor complexity, there was no significant between-group difference in the rate of decline in renal function or grade III–IV complications.Conclusion: Single-layer suturing with soft coagulation achieves renal function and perioperative outcomes comparable to those of double-layer suturing regardless of complexity.
• Persistent ID (NDL): info:ndljp/pid/13332023; https://dl.ndl.go.jp/pid/13332023
• 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): 2024-02-02T16:16:38+09:00
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
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• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://repo.lib.tokushima-u.ac.jp/118156
• 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