フルテキストファイル
著者
Yumioka, Tetsuya Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University 研究者総覧
Honda, Masashi Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University 研究者総覧 KAKEN
Teraoka, Shogo Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
Kimura, Yusuke Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University 研究者総覧
Iwamoto, Hideto Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University 研究者総覧 KAKEN
Morizane, Shuichi Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University 研究者総覧 KAKEN
Hikita, Katsuya Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University 研究者総覧 KAKEN
Takenaka, Atsushi Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University 研究者総覧 KAKEN
キーワード
renal tumor
robotic surgery
partial nephrectomy
prior abdominal surgery
perioperative outcomes
抄録
[Background] We evaluated the influence of prior abdominal surgery on perioperative outcomes in patients who underwent robot-assisted partial nephrectomy in initial Japanese series. [Methods] We reviewed patients with small renal tumors who underwent robot-assisted partial nephrectomy from October 2011 to September 2020 at our institution. Patients with prior abdominal surgery were compared with those without prior surgery based on perioperative outcomes. The chi-square test and Mann–Whitney U test were used for statistical analyses of variables. [Results] Of 156 patients who underwent robot-assisted partial nephrectomy, 90 (58%) had no prior abdominal surgery, whereas 66 patients (42%) underwent prior abdominal surgery. No significant differences in perioperative outcomes were observed between with and without prior abdominal surgery groups. In transperitoneal approach robot-assisted partial nephrectomy, 31 patients (80.4%) had prior abdominal surgery. Trocar insertion time in the with prior abdominal surgery group took longer than the without prior abdominal surgery group (32 vs. 28.5 min, P = 0.031). No significant difference was observed in the conversion rate between the two groups (P = 0.556). [Conclusion] Robot-assisted partial nephrectomy appears to be a safe approach for patients with prior abdominal surgery. In transperitoneal approach robot-assisted partial nephrectomy with prior abdominal surgery, trocar insertion time was longer, but no significant differences were found in other outcomes. Transperitoneal approach robot-assisted partial nephrectomy is thus considered a safe procedure for patients with prior abdominal surgery.
出版者
Tottori University Medical Press
資料タイプ
学術雑誌論文
外部リンク
ISSN
05135710
EISSN
13468049
書誌ID
AA00892882
掲載誌名
Yonago Acta Medica
最新掲載誌名
Yonago Acta Medica
64
2
開始ページ
184
終了ページ
191
発行日
2021-05-20
出版者DOI
著者版フラグ
出版社版
著作権表記
(C) 2021 Tottori University Medical Press
掲載情報
Yumioka Tetsuya, Honda Masashi, Teraoka Shogo, et al. The Influence of Prior Abdominal Surgery on Robot-Assisted Partial Nephrectomy. Yonago Acta Medica. 2021, 64(2), 184-191. doi:10.33160/yam.2021.05.010
部局名
医学部・医学系研究科・医学部附属病院
言語
英語