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

本山, 大輔

doi:https://doi.org/10.1186/s12894-019-0567-0

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

http://hdl.handle.net/10271/00003858

名前 / ファイル	ライセンス	アクション
論文本文 (921.0 kB)

Item type

学位論文 / Thesis or Dissertation(1)

公開日

2021-07-01

タイトル

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

言語

eng

キーワード

主題

Three-dimensional volumetry

キーワード

主題

Perinephric fat

キーワード

主題

Robot-assisted partial nephrectomy

キーワード

主題

Mayo adhesive probability score

資源タイプ

資源タイプ識別子

http://purl.org/coar/resource_type/c_db06

資源タイプ

doctoral thesis

アクセス権

open access

アクセス権URI

http://purl.org/coar/access_right/c_abf2

その他のタイトル

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

著者

本山, 大輔

書誌情報

en : BMC Urology

巻 19, p. 132, 発行日 2019-12-12

出版者

Springer Nature

言語

権利

言語

権利情報

Copyright The Author(s). 2019 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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内容記述タイプ

Abstract

内容記述

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.

言語

学位名

博士（医学）

学位の区分

内容記述

doctoral

学位の分野

内容記述

医学系研究科

学位授与機関

学位授与機関識別子Scheme

kakenhi

学位授与機関識別子

13802

学位授与機関名

浜松医科大学

学位授与年月日

2021-01-22

学位授与番号

乙第574号

ISSN

収録物識別子タイプ

EISSN

収録物識別子

1471-2490

PubMed番号

識別子タイプ

PMID

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2023-06-20 16:26:30.776097

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

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