ID | 52142 |
JaLCDOI | |
フルテキストURL | |
著者 |
Araki, Motoo
Department of Urology and Urological Science Institute, Severance Hospital, Yonsei University College of Medicine
Jeong, Wooju
Department of Urology and Urological Science Institute, Severance Hospital, Yonsei University College of Medicine
Park, Sung Yul
Department of Urology, Hangyang University College of Medicine
Lee, Young Hoon
Department of Urology and Urological Science Institute, Severance Hospital, Yonsei University College of Medicine
Nasu, Yasutomo
Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kaken ID
publons
researchmap
Kumon, Hiromi
Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kaken ID
publons
Hong, Sung Joon
Department of Urology and Urological Science Institute, Severance Hospital, Yonsei University College of Medicine
Rha, Koon Ho
Department of Urology and Urological Science Institute, Severance Hospital, Yonsei University College of Medicine
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抄録 | The purpose of this study was to compare the positive surgical margin (PSM) rates of 2 techniques of robot-assisted radical prostatectomy (RARP) for pT2 (localized) prostate cancer. A retrospective analysis was conducted of 361 RARP cases, performed from May 2005 to September 2008 by a single surgeon (KHR) at our institution (Yonsei University College of Medicine). In the conventional technique,
the bladder neck was transected first. In the modified ultradissection, the lateral border of the bladder neck was dissected and then the bladder neck was transected while the detrusor muscle of the bladder was well visualized. Perioperative characteristics and outcomes and PSM rates were analyzed retrospectively for pT2 patients (n=217), focusing on a comparison of those undergoing conventional (n=113) and modified ultradissection (n=104) techniques. There was no difference between the conventional
and modified ultradissection group in mean age, BMI, PSA, prostate volume, biopsy Gleason score, and DʼAmico prognostic criteria distributions. The mean operative time was shorter
(p<0.001) and the estimated blood loss was less (p<0.01) in the modified ultradissection group. The PSM rate for the bladder neck was significantly reduced by modified ultradissection, from 6.2% to
0% (p<0.05). In conclusion, modified ultradissection reduces the PSM rate for the bladder neck.
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キーワード | robot-assisted radical prostatectomy
prostate cancer
surgery
surgical margin
technique
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Amo Type | Original Article
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2014-02
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巻 | 68巻
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号 | 1号
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出版者 | Okayama University Medical School
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開始ページ | 35
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終了ページ | 41
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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著作権者 | CopyrightⒸ 2014 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID | |
Web of Science KeyUT |