Item type |
デフォルトアイテムタイプ(フル)(1) |
公開日 |
2024-12-23 |
タイトル |
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タイトル |
Robot-assisted total pelvic exenteration for rectal cancer after neoadjuvant chemoradiotherapy: a case report |
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言語 |
en |
作成者 |
木原,恭一
Koyama,Yuri
花木,武彦
宮谷,幸造
松永,知之
山本,学
森實,修一
徳安,成郎
坂本,照尚
藤原,義之
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主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Pelvic exenterations |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Colorectal neoplasms |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Robot surgery |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Laparoscopy |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Total |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Chemoradiotherapy |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Prostatectomy |
内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
Background: There are numerous indications for minimally invasive surgery. However, the laparoscopic approach for extended pelvic surgery is currently provided by only a few institutions specializing in cancer treatment, primarily because of technical difficulties that arise in cases involving a narrow pelvis and rigid forceps. We report a case of robot-assisted total pelvic exenteration for rectal cancer involving the prostate. We assessed the feasibility of robot-assisted total pelvic exenteration and compared the short-term outcomes of other conventional and minimally invasive approaches. Case presentation: A 67-year-old man was referred to our hospital after positive fecal blood test results. The initial diagnosis was clinical T4bN2aM0, Stage IIIC rectal cancer involving the prostate. The patient underwent neoadjuvant chemoradiotherapy. Consequently, robot-assisted total pelvic exenteration with an ileal conduit and end colostomy creation were performed. The total operative duration was 9 h and 20 min. The durations of robot console usage by the colorectal and urological teams were 2 h 9 min and 2 h 23 min, respectively. The patient was discharged on postoperative day 21. The pathological diagnosis was T4b (prostate) N0M0, Stage IIC. The resection margin was 2.5 mm. During reassessment at 2 years after resection, no evidence of recurrence was observed. Conclusions: Robot-assisted total pelvic exenteration was performed for a patient with advanced rectal cancer without serious complications. Robot-assisted total pelvic exenteration may provide the advantages of minimally invasive surgery, particularly in the enclosed space of the pelvis. |
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言語 |
en |
出版者 |
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出版者 |
Springer |
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言語 |
en |
日付 |
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日付 |
2022-10-07 |
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日付タイプ |
Issued |
言語 |
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言語 |
eng |
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 |
出版タイプ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
関連情報 |
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関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1186/s40792-022-01547-x |
収録物識別子 |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
21987793 |
収録物名 |
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収録物名 |
Surgical case reports |
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言語 |
en |
巻 |
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巻 |
8 |
開始ページ |
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開始ページ |
191 |
書誌情報 |
en : Surgical case reports
巻 8,
p. 191
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アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
権利情報 |
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言語 |
en |
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権利情報 |
(C) The Author(s) 2022. 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/. |