| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2025-10-28 |
| タイトル |
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タイトル |
Robotic versus laparoscopic right hemicolectomy with complete mesocolic excision using a cranial approach: a propensity score-matched retrospective cohort study |
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言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
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|
言語 |
en |
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主題Scheme |
Other |
|
主題 |
Robotic surgery |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Laparoscopic surgery |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Right colectomy |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Complete mesocolic excision |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Central vascular |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
ligation |
| キーワード |
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言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Cranial approach |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Propensity score matching |
| 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 |
| 著者 |
Nonaka, Takashi
Tominaga, Tetsuro
Takamura, Yuma
Kaido, Oishi
Noda, Keisuke
Sawai, Terumitsu
Matsumoto, Keitaro
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| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Background; This study aimed to compare the perioperative outcomes of robotic versus laparoscopic complete mesocolic excision (CME) and to assess the safety and feasibility of robotic CME (R-CME) for right-sided colon cancer. As part of this analysis, the feasibility and safety of the robotic approach were also evaluated. Methods; Patients who underwent right hemicolectomy with either robotic CME (R-CME, 48 patients) or laparoscopic CME (L-CME, 123 patients) between April 2016 and December 2023 were retrospectively analyzed using propensity score matching (PSM). Results; After matching, the R-CME and L-CME groups each of the 40 included patients. The R-CME group had less intraoperative blood loss (P = 0.007), a shorter median time to first flatus (P < 0.001), and a shorter median postoperative hospital stay (P = 0.012) than the L-CME group. The other surgical outcomes were not significantly different between the two groups. Conclusions; R-CME was associated with less blood loss, faster recovery of bowel function, and shorter hospital stay than L-CME, suggesting that robotic CME using a cranial approach may be a feasible and safe option for right-sided colon cancer. These favorable outcomes may reflect not only the general advantages of the robotic platform but also the procedural benefits of the cranial approach, which enables early vascular control and reduced bowel interference. |
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言語 |
en |
| 書誌情報 |
en : Techniques in Coloproctology
巻 29,
号 1,
p. art. no. 181,
発行日 2025-10-16
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| 出版者 |
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出版者 |
Springer Nature |
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言語 |
en |
| ISSN |
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|
収録物識別子タイプ |
ISSN |
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収録物識別子 |
1123-6337 |
| DOI |
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関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1007/s10151-025-03223-2 |
| 権利 |
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|
権利情報 |
This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and repro- duction 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 you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. 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-nc-nd/4.0/. |
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言語 |
en |
| 著者版フラグ |
|
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出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 引用 |
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内容記述タイプ |
Other |
|
内容記述 |
Techniques in Coloproctology, 29, art. no. 181; 2025 |
|
言語 |
en |