{"created":"2021-03-01T06:12:11.921775+00:00","id":8194,"links":{},"metadata":{"_buckets":{"deposit":"25b814c5-00cb-44a4-a57e-11dbdc03959b"},"_deposit":{"id":"8194","owners":[],"pid":{"revision_id":0,"type":"depid","value":"8194"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00008194","sets":["453:456","471:537:538:882"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Robot-assisted Radical Prostatectomy : a Single Center Experience of Initial 87 Cases and Improvements in Learning Curve"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10","bibliographicPageEnd":"610","bibliographicPageStart":"599","bibliographicVolumeNumber":"131","bibliographic_titles":[{"bibliographic_title":"新潟医学会雑誌"},{"bibliographic_title":"新潟医学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【目的】ロボット支援前立腺全摘除術(RARP)の初期治療経験に関して検討を行った．【対象と方法】2014年2月より2016年5月までに，新潟大学医歯学総合病院にてRARPを行った87例を対象とした．第30例目以降の症例においては，手術ステップ別に目標時間を設定し，状況に応じてプロクターがデュアルコンソールを用いて技術指導を行った．手術成績に関しては，手術時期別に3群に分けて検討した．【結果】開腹手術や腹腔鏡手術への移行例は認めなかった．手術時期に比例して，全手術時間およびコンソール時間は有意に短縮し，術中出血量も有意に減少した．周術期合併症の発生率は，術中で0%，術後30日以内で11.5%であった．切除断端陽性率はpT2で16.8%，pT3で57.7％であった．術後の尿禁制率（尿パッド0-1枚／日）は術後1月，3月，6月，12月でそれぞれ43.7％，72.4％，87.3％，94.4％であった．【結論】「手術スキルの迅速な習得」を図るわれわれの試みは着実に成果を示しており，かつ安全性に関しても諸家の報告と比べ遜色なく実施できている．今後の課題は，特にpT2における断端陽性率を減少させるための工夫， および疾患コントロールに関する長期追跡による予後評価である．","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"57588","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kasahara, Takashi"}]},{"nameIdentifiers":[{"nameIdentifier":"57589","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Maruyama, Ryo"}]},{"nameIdentifiers":[{"nameIdentifier":"57590","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yamana, Kazutoshi"}]},{"nameIdentifiers":[{"nameIdentifier":"57591","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takizawa, Itsuhiro"}]},{"nameIdentifiers":[{"nameIdentifier":"57592","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nishiyama, Tsutomu"}]},{"nameIdentifiers":[{"nameIdentifier":"57593","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tomita, Yoshihiko"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟医学会"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00290440","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"笠原, 隆"}],"nameIdentifiers":[{"nameIdentifier":"57582","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"丸山, 亮"}],"nameIdentifiers":[{"nameIdentifier":"57583","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山名, 一寿"}],"nameIdentifiers":[{"nameIdentifier":"57584","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"瀧澤, 逸大"}],"nameIdentifiers":[{"nameIdentifier":"57585","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"西山, 勉"}],"nameIdentifiers":[{"nameIdentifier":"57586","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"冨田, 善彦"}],"nameIdentifiers":[{"nameIdentifier":"57587","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-06"}],"displaytype":"detail","filename":"131(10)_599-610.pdf","filesize":[{"value":"5.7 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