Robot-assisted surgery combines high precision with minimally invasive techniques and has become a standard procedure across many specialties, particularly in urology. However, vascular looping remains a technically demanding task due to the limitations of robotic instruments, lack of tactile feedback, and challenges in coordination between the surgeon and the assistant. To address these issues, we developed a novel device called the ``Vas Guide.'' The Vas Guide features a design that allows the surgeon to complete vascular looping in a single step, and it is crafted from a slender, reusable stainless-steel structure compatible with the constraints of robotic surgery. Since its clinical introduction in 2023, the device has expanded its use beyond urology to other specialties. Intellectual property rights are solely held by Tokushima University, with patent applications filed domestically and internationally, and design registrations obtained. The Vas Guide has received high acclaim through academic awards and publications. Moving forward, efforts will focus on validating its utility across various specialties, pursuing international expansion, and establishing a sustainable business model to facilitate broad social implementation. As an exemplary case of clinician-led medical device development, the Vas Guide is expected to contribute significantly to improving the safety and efficiency of robot-assisted surgerie
","ja":"ロボット手術は高い操作精度と低侵襲性を兼ね備え，泌尿器科を中心に多くの診療科で標準的術式として普及している．しかし血管テーピング操作は，ロボット鉗子の制約や触覚の欠如，術者と助手間の協調の難しさなどにより依然として高度な技術を要する．これらの課題を解決すべく新規デバイス「Vas Guide」を開発した．Vas Guideは術者がワンステップでテーピングできる構造を持ち，ロボット手術の制約に適合した細径かつ再利用可能なステンレス製で設計された．2023年より臨床導入され，泌尿器科のみならず他科への展開も進む．知財権は徳島大学が単独保有し，国内外での特許出願や意匠登録を取得．学会賞受賞や学術誌掲載を通じ高い評価を得ている．今後は他診療科での有用性検証や国際展開，持続可能な収益モデルの構築を進め，広範な社会実装を目指す．現場医師主導による医療機器開発の好例として，ロボット手術における安全性と効率性向上に寄与することが期待される．
"},"publication_date":"2026","publication_name":{"en":"Shikoku Acta Medica","ja":"四国医学雑誌"},"volume":"81","number":"5.6","starting_page":"154","ending_page":"159","languages":["jpn"],"referee":true,"identifiers":{"doi":["10.57444/shikokuactamedica.81.5.6_154"],"issn":["0037-3699"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/41217011","label":"url"},{"@id":"https://www.scopus.com/pages/publications/105021549318","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=458232","label":"url"}],"paper_title":{"en":"Prognostic Significance of Achieving the Radical Cystectomy-Pentafecta After Neoadjuvant Chemotherapy and Robot-Assisted Radical Cystectomy","ja":"Prognostic Significance of Achieving the Radical Cystectomy-Pentafecta After Neoadjuvant Chemotherapy and Robot-Assisted Radical Cystectomy"},"authors":{"en":[{"name":"Fukuta Kyotaro"},{"name":"Sasaki Yutaro"},{"name":"Daizumoto Kei"},{"name":"Izumi Kazuyoshi"},{"name":"Kadoriku Fumiya"},{"name":"Utsunomiya Seiya"},{"name":"Shiozaki Keito"},{"name":"Nakashima Takeshi"},{"name":"Fukawa Tomoya"},{"name":"Nakanishi Ryoichi"},{"name":"Izaki Hirofumi"},{"name":"Furukawa Junya"}],"ja":[{"name":"Fukuta Kyotaro"},{"name":"佐々木 雄太郎"},{"name":"大豆本 圭"},{"name":"Izumi Kazuyoshi"},{"name":"Kadoriku Fumiya"},{"name":"Utsunomiya Seiya"},{"name":"塩﨑 啓登"},{"name":"Nakashima Takeshi"},{"name":"布川 朋也"},{"name":"Nakanishi Ryoichi"},{"name":"Izaki Hirofumi"},{"name":"古川 順也"}]},"description":{"en":"This collaborative, multi-institutional retrospective study aimed to evaluate whether achieving the radical cystectomy-pentafecta contributes to improved outcomes in patients with muscle-invasive bladder cancer undergoing neoadjuvant chemotherapy followed by robot-assisted radical cystectomy. We retrospectively analyzed 195 patients with muscle-invasive bladder cancer who underwent robot-assisted radical cystectomy with intracorporeal urinary diversion at four affiliated institutions. All had a minimum follow-up of 12 months. According to previously established criteria, patients who simultaneously demonstrated (i) negative soft tissue surgical margins, (ii) ≥ 16 lymph node yield, (iii) absence of major complications at 90 days, (iv) absence of urinary diversion-related long-term sequelae, and (v) absence of clinical recurrence in the first year were considered to have achieved the radical cystectomy-pentafecta. The overall radical cystectomy-pentafecta achievement rate was 46.2% (46.5% in the neoadjuvant chemotherapy group and 45.3% in the no chemotherapy group). In the neoadjuvant chemotherapy group, patients who achieved the radical cystectomy-pentafecta demonstrated significantly better overall survival (p = 0.038), cancer-specific survival (p = 0.009), and recurrence-free survival (p < 0.001) than those who did not. The radical cystectomy-pentafecta is a valuable tool to assess the quality of robot-assisted radical cystectomy with intracorporeal urinary diversion. Its achievement may be associated with improved outcomes in patients with muscle-invasive bladder cancer undergoing neoadjuvant chemotherapy prior to surgery.","ja":"This collaborative, multi-institutional retrospective study aimed to evaluate whether achieving the radical cystectomy-pentafecta contributes to improved outcomes in patients with muscle-invasive bladder cancer undergoing neoadjuvant chemotherapy followed by robot-assisted radical cystectomy. We retrospectively analyzed 195 patients with muscle-invasive bladder cancer who underwent robot-assisted radical cystectomy with intracorporeal urinary diversion at four affiliated institutions. All had a minimum follow-up of 12 months. According to previously established criteria, patients who simultaneously demonstrated (i) negative soft tissue surgical margins, (ii) ≥ 16 lymph node yield, (iii) absence of major complications at 90 days, (iv) absence of urinary diversion-related long-term sequelae, and (v) absence of clinical recurrence in the first year were considered to have achieved the radical cystectomy-pentafecta. The overall radical cystectomy-pentafecta achievement rate was 46.2% (46.5% in the neoadjuvant chemotherapy group and 45.3% in the no chemotherapy group). In the neoadjuvant chemotherapy group, patients who achieved the radical cystectomy-pentafecta demonstrated significantly better overall survival (p = 0.038), cancer-specific survival (p = 0.009), and recurrence-free survival (p < 0.001) than those who did not. The radical cystectomy-pentafecta is a valuable tool to assess the quality of robot-assisted radical cystectomy with intracorporeal urinary diversion. Its achievement may be associated with improved outcomes in patients with muscle-invasive bladder cancer undergoing neoadjuvant chemotherapy prior to surgery."},"publication_date":"2025-11-11","publication_name":{"en":"International Journal of Urology","ja":"International Journal of Urology"},"volume":"33","number":"1","starting_page":"e70283","ending_page":"e70283","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/iju.70283"],"issn":["0919-8172"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/41124086","label":"url"},{"@id":"https://www.scopus.com/pages/publications/105027207307","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=459478","label":"url"}],"paper_title":{"en":"An inadequate number of first-line chemotherapy cycles provides poor survival outcomes in patients with metastatic urothelial carcinoma receiving avelumab maintenance: results from the chu-shikoku Japan urological consortium","ja":"An inadequate number of first-line chemotherapy cycles provides poor survival outcomes in patients with metastatic urothelial carcinoma receiving avelumab maintenance: results from the chu-shikoku Japan urological consortium"},"authors":{"en":[{"name":"Katayama Satoshi"},{"name":"Iwata Takehiro"},{"name":"Nishimura Shingo"},{"name":"Bekku Kensuke"},{"name":"Kobayashi Keita"},{"name":"Fujii Nakanori"},{"name":"Nishimura Kenichi"},{"name":"Miura Noriyoshi"},{"name":"Tohi Yoichiro"},{"name":"Kato Takuma"},{"name":"Yamamoto Shinkuro"},{"name":"Fukuhara Hideo"},{"name":"Takamoto Atsushi"},{"name":"Shimizu Ryutaro"},{"name":"Morizane Shuichi"},{"name":"Sasaki Yutaro"},{"name":"Daizumoto Kei"},{"name":"Nagami Taichi"},{"name":"Wada Koichiro"},{"name":"Araki Motoo"},{"name":"Satoshi Katayama"},{"name":"Shinkuro Yamamoto"},{"name":"Ryu Shigehisa"},{"name":"Koji Shiraishi"},{"name":"Yoshiyuki Miyaji"},{"name":"Tatsushi Kawada"},{"name":"Yoichiro Tohi"},{"name":"Takuma Kato"},{"name":"Hirohito Naito"},{"name":"Hideo Fukuhara"},{"name":"Keita Kobayashi"},{"name":"Kei Daizumoto"},{"name":"Yutaro Sasaki"},{"name":"Ryotaro Tomida"},{"name":"Ryutaro Shimizu"},{"name":"Noriya Yamaguchi"},{"name":"Kenichi Nishimura"},{"name":"Ryuta Watanabe"},{"name":"Taichi Nagami"},{"name":"Kohei Ogawa"},{"name":"Atsuhi Takamoto"},{"name":"Heima Niigawa"},{"name":"Yohei Sekino"},{"name":"Kohei Kobatake"},{"name":"Junya Furukawa"},{"name":"Nobuyuki Hinata"},{"name":"Keiji Inoue"},{"name":"Mikio Sugimoto"},{"name":"Takashi Saika"},{"name":"Koichiro Wada"},{"name":"Atsushi Takenaka"},{"name":"Motoo Araki"}],"ja":[{"name":"Katayama Satoshi"},{"name":"Iwata Takehiro"},{"name":"Nishimura Shingo"},{"name":"Bekku Kensuke"},{"name":"Kobayashi Keita"},{"name":"Fujii Nakanori"},{"name":"Nishimura Kenichi"},{"name":"Miura Noriyoshi"},{"name":"Tohi Yoichiro"},{"name":"Kato Takuma"},{"name":"Yamamoto Shinkuro"},{"name":"Fukuhara Hideo"},{"name":"Takamoto Atsushi"},{"name":"Shimizu Ryutaro"},{"name":"Morizane Shuichi"},{"name":"佐々木 雄太郎"},{"name":"大豆本 圭"},{"name":"Nagami Taichi"},{"name":"Wada Koichiro"},{"name":"Araki Motoo"},{"name":"Satoshi Katayama"},{"name":"Shinkuro Yamamoto"},{"name":"Ryu Shigehisa"},{"name":"Koji Shiraishi"},{"name":"Yoshiyuki Miyaji"},{"name":"Tatsushi Kawada"},{"name":"Yoichiro Tohi"},{"name":"Takuma Kato"},{"name":"Hirohito Naito"},{"name":"Hideo Fukuhara"},{"name":"Keita Kobayashi"},{"name":"Kei Daizumoto"},{"name":"Yutaro Sasaki"},{"name":"Ryotaro Tomida"},{"name":"Ryutaro Shimizu"},{"name":"Noriya Yamaguchi"},{"name":"Kenichi Nishimura"},{"name":"Ryuta Watanabe"},{"name":"Taichi Nagami"},{"name":"Kohei Ogawa"},{"name":"Atsuhi Takamoto"},{"name":"Heima Niigawa"},{"name":"Yohei Sekino"},{"name":"Kohei Kobatake"},{"name":"Junya Furukawa"},{"name":"Nobuyuki Hinata"},{"name":"Keiji Inoue"},{"name":"Mikio Sugimoto"},{"name":"Takashi Saika"},{"name":"Koichiro Wada"},{"name":"Atsushi Takenaka"},{"name":"Motoo Araki"}]},"description":{"en":"Despite 4-6 cycles of first-line chemotherapy being recommended before the initiation of avelumab maintenance treatment, a non-negligible number of patients received <4 cycles of first-line chemotherapy due to adverse events or pre-existing comorbidities. We assessed the prognostic impact of the number of first-line chemotherapy cycles in patients with metastatic urothelial carcinoma (mUC) treated with avelumab maintenance. In this multi-institutional study, data were collected from patients with mUC who received avelumab maintenance treatment following first-line chemotherapy. Patients were divided into those who received <4 cycles versus ≥4 cycles of first-line chemotherapy. Kaplan-Meier curves and Cox regression analysis were used to assess the association of chemotherapy cycle numbers with overall survival (OS) and cancer-specific survival (CSS). Of 91 patients included in this analysis, 17 (19%) underwent <4 cycles of chemotherapy. Patients with <4 cycles of first-line chemotherapy were less likely to receive carboplatin-containing chemotherapy compared with their counterparts (6% versus 39%). On multivariable Cox regression analyses adjusted for the effects of confounding factors, receiving <4 cycles of chemotherapy was significantly associated with worse OS and CSS (HR 2.85; P = .006 and HR 3.18; P = .005, respectively), which was confirmed by subgroup analysis focusing on patients with 1-6 cycles of chemotherapy. Cisplatin-based chemotherapy use was associated with better OS over carboplatin-based chemotherapy (HR 0.41; P = .033). An inadequate number of first-line chemotherapy cycles was associated with poor survival outcomes. Four or more cycles of first-line platinum-based chemotherapy may be beneficial to ensure the efficacy of avelumab maintenance treatment in patients with mUC.","ja":"Despite 4-6 cycles of first-line chemotherapy being recommended before the initiation of avelumab maintenance treatment, a non-negligible number of patients received <4 cycles of first-line chemotherapy due to adverse events or pre-existing comorbidities. We assessed the prognostic impact of the number of first-line chemotherapy cycles in patients with metastatic urothelial carcinoma (mUC) treated with avelumab maintenance. In this multi-institutional study, data were collected from patients with mUC who received avelumab maintenance treatment following first-line chemotherapy. Patients were divided into those who received <4 cycles versus ≥4 cycles of first-line chemotherapy. Kaplan-Meier curves and Cox regression analysis were used to assess the association of chemotherapy cycle numbers with overall survival (OS) and cancer-specific survival (CSS). Of 91 patients included in this analysis, 17 (19%) underwent <4 cycles of chemotherapy. Patients with <4 cycles of first-line chemotherapy were less likely to receive carboplatin-containing chemotherapy compared with their counterparts (6% versus 39%). On multivariable Cox regression analyses adjusted for the effects of confounding factors, receiving <4 cycles of chemotherapy was significantly associated with worse OS and CSS (HR 2.85; P = .006 and HR 3.18; P = .005, respectively), which was confirmed by subgroup analysis focusing on patients with 1-6 cycles of chemotherapy. Cisplatin-based chemotherapy use was associated with better OS over carboplatin-based chemotherapy (HR 0.41; P = .033). An inadequate number of first-line chemotherapy cycles was associated with poor survival outcomes. Four or more cycles of first-line platinum-based chemotherapy may be beneficial to ensure the efficacy of avelumab maintenance treatment in patients with mUC."},"publication_date":"2025-10-22","publication_name":{"en":"Japanese Journal of Clinical Oncology","ja":"Japanese Journal of Clinical Oncology"},"volume":"56","number":"1","starting_page":"89","ending_page":"96","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1093/jjco/hyaf163"],"issn":["0368-2811"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/40994025","label":"url"},{"@id":"https://www.scopus.com/pages/publications/105017860316","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=457424","label":"url"}],"paper_title":{"en":"Needlestick Injury During Urological Surgery: A 15-Year Review From a Multi-Institutional Study in the Chugoku-Shikoku Japan Urological Consortium","ja":"Needlestick Injury During Urological Surgery: A 15-Year Review From a Multi-Institutional Study in the Chugoku-Shikoku Japan Urological Consortium"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Katayama Satoshi"},{"name":"Tohi Yoichiro"},{"name":"Kobayashi Keita"},{"name":"Nishimura Kenichi"},{"name":"Yamamoto Shinkuro"},{"name":"Niigawa Heima"},{"name":"Jo Taisuke"},{"name":"Daizumoto Kei"},{"name":"Naito Hirohito"},{"name":"Tomida Ryotaro"},{"name":"Nishimura Shingo"},{"name":"Kato Takuma"},{"name":"Bekku Kensuke"},{"name":"Miura Noriyoshi"},{"name":"Fukawa Tomoya"},{"name":"Shiraishi Koji"},{"name":"Inoue Keiji"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"Katayama Satoshi"},{"name":"Tohi Yoichiro"},{"name":"Kobayashi Keita"},{"name":"Nishimura Kenichi"},{"name":"Yamamoto Shinkuro"},{"name":"Niigawa Heima"},{"name":"Jo Taisuke"},{"name":"大豆本 圭"},{"name":"Naito Hirohito"},{"name":"冨田 諒太郎"},{"name":"Nishimura Shingo"},{"name":"Kato Takuma"},{"name":"Bekku Kensuke"},{"name":"Miura Noriyoshi"},{"name":"布川 朋也"},{"name":"Shiraishi Koji"},{"name":"Inoue Keiji"},{"name":"古川 順也"}]},"description":{"en":"Needlestick injuries (NSIs) are a major occupational hazard for healthcare workers and remain a concern during surgery. However, data specific to urologic surgery are limited. This multicenter retrospective study analyzed NSIs across seven Japanese institutions to clarify their characteristics and propose preventive strategies. We reviewed 63 590 urologic surgeries performed between April 2009 and March 2024 at seven university hospitals. Forty-six NSI cases were identified, of which 44 with complete data were analyzed. Collected variables included procedure type, surgeon experience, injury details, and infection status. Bleeding severity was classified as superficial (controlled by spontaneous hemostasis or light compression only) or moderate (requiring strong compression or additional hemostatic procedures such as sealing or suturing). The overall incidence of NSIs was 0.06% (range, 0.01%-0.24%). Suture needles were responsible for 75.0% of cases, and 61.4% occurred during wound closure, of which 92.6% involved suture needles. NSIs during wound closure were significantly more common in robot-assisted/laparoscopic procedures than in open/other procedures (88.9% vs. 42.3%, p = 0.005). Injuries predominantly affected the first to third digits (77.3%). Moderate bleeding was observed more often in dominant-hand injuries, although the difference did not reach statistical significance (31.3% vs. 10.7%, p = 0.102). NSIs in urologic surgery most often occur during wound closure and involve suture needles, particularly in robot-assisted and laparoscopic procedures. The first to third digits are most frequently affected, and dominant-hand injuries tend to cause more bleeding. Preventive measures-including safer suturing techniques, double gloving, and finger protection-are warranted to reduce the risk.","ja":"Needlestick injuries (NSIs) are a major occupational hazard for healthcare workers and remain a concern during surgery. However, data specific to urologic surgery are limited. This multicenter retrospective study analyzed NSIs across seven Japanese institutions to clarify their characteristics and propose preventive strategies. We reviewed 63 590 urologic surgeries performed between April 2009 and March 2024 at seven university hospitals. Forty-six NSI cases were identified, of which 44 with complete data were analyzed. Collected variables included procedure type, surgeon experience, injury details, and infection status. Bleeding severity was classified as superficial (controlled by spontaneous hemostasis or light compression only) or moderate (requiring strong compression or additional hemostatic procedures such as sealing or suturing). The overall incidence of NSIs was 0.06% (range, 0.01%-0.24%). Suture needles were responsible for 75.0% of cases, and 61.4% occurred during wound closure, of which 92.6% involved suture needles. NSIs during wound closure were significantly more common in robot-assisted/laparoscopic procedures than in open/other procedures (88.9% vs. 42.3%, p = 0.005). Injuries predominantly affected the first to third digits (77.3%). Moderate bleeding was observed more often in dominant-hand injuries, although the difference did not reach statistical significance (31.3% vs. 10.7%, p = 0.102). NSIs in urologic surgery most often occur during wound closure and involve suture needles, particularly in robot-assisted and laparoscopic procedures. The first to third digits are most frequently affected, and dominant-hand injuries tend to cause more bleeding. Preventive measures-including safer suturing techniques, double gloving, and finger protection-are warranted to reduce the risk."},"publication_date":"2025-09-24","publication_name":{"en":"International Journal of Urology","ja":"International Journal of Urology"},"volume":"32","number":"12","starting_page":"1873","ending_page":"1877","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/iju.70242"],"issn":["0919-8172"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.scopus.com/pages/publications/105008881092","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=444792","label":"url"}],"paper_title":{"en":"Bricker Technique of Uretero-Ileal Anastomosis for Duplex Ureters Undergoing Intracorporeal Ileal Conduit Construction","ja":"Bricker Technique of Uretero-Ileal Anastomosis for Duplex Ureters Undergoing Intracorporeal Ileal Conduit Construction"},"authors":{"en":[{"name":"Fukuta Kyotaro"},{"name":"Nakanishi Ryoichi"},{"name":"Shiozaki Keito"},{"name":"Utsunomiya Seiya"},{"name":"Sasaki Yutaro"},{"name":"Nakashima Takeshi"},{"name":"Fukawa Tomoya"},{"name":"Izaki Hirofumi"},{"name":"Furukawa Junya"}],"ja":[{"name":"Fukuta Kyotaro"},{"name":"Nakanishi Ryoichi"},{"name":"塩﨑 啓登"},{"name":"Utsunomiya Seiya"},{"name":"佐々木 雄太郎"},{"name":"Nakashima Takeshi"},{"name":"布川 朋也"},{"name":"Izaki Hirofumi"},{"name":"古川 順也"}]},"publication_date":"2025-09","publication_name":{"en":"IJU Case Reports","ja":"IJU Case Reports"},"volume":"8","number":"5","starting_page":"462","ending_page":"465","referee":true,"identifiers":{"doi":["10.1002/iju5.70065"],"issn":["2577-171X"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.scopus.com/pages/publications/105012401689","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=447012","label":"url"}],"paper_title":{"en":"Robot-Assisted Radical Nephrectomy for Renal Cell Carcinoma in a Right Intrathoracic Kidney Following Congenital Diaphragmatic Hernia Repair: A Case Report","ja":"Robot-Assisted Radical Nephrectomy for Renal Cell Carcinoma in a Right Intrathoracic Kidney Following Congenital Diaphragmatic Hernia Repair: A Case Report"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Kobayashi Saki"},{"name":"Kadoriku Fumiya"},{"name":"Daizumoto Kei"},{"name":"Tomida Ryotaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"Kobayashi Saki"},{"name":"Kadoriku Fumiya"},{"name":"大豆本 圭"},{"name":"冨田 諒太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"古川 順也"}]},"publication_date":"2025-08-06","publication_name":{"en":"IJU Case Reports","ja":"IJU Case Reports"},"volume":"8","number":"5","starting_page":"513","ending_page":"516","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1002/iju5.70081"],"issn":["2577-171X"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.scopus.com/pages/publications/105010018561","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=445118","label":"url"}],"paper_title":{"en":"Editorial Comment Regarding ''Initial Experience of Robot-Assisted Nephrectomy and Nephroureterectomy Using the Novel Saroa Surgical System''","ja":"Editorial Comment Regarding ''Initial Experience of Robot-Assisted Nephrectomy and Nephroureterectomy Using the Novel Saroa Surgical System''"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"古川 順也"}]},"publication_date":"2025-07-09","publication_name":{"en":"International Journal of Urology","ja":"International Journal of Urology"},"languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/iju.70180"],"issn":["0919-8172"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=465306","label":"url"}],"paper_title":{"en":"小児期に右副腎褐色細胞腫摘出後,妊娠時に対側発症が判明しVon Hippel-Lindau病の診断に至った1例","ja":"小児期に右副腎褐色細胞腫摘出後,妊娠時に対側発症が判明しVon Hippel-Lindau病の診断に至った1例"},"authors":{"en":[{"name":"Kobayashi Saki"},{"name":"Takahashi Masayuki"},{"name":"西山 美月"},{"name":"Sasaki Yutaro"},{"name":"Hara Tomoyo"},{"name":"Endo Itsuro"},{"name":"Furukawa Junya"}],"ja":[{"name":"小林 早紀"},{"name":"高橋 正幸"},{"name":"西山 美月"},{"name":"佐々木 雄太郎"},{"name":"原 倫世"},{"name":"遠藤 逸朗"},{"name":"古川 順也"}]},"publication_date":"2025-07","publication_name":{"en":"Japanese Journal of Pediatric Urology","ja":"日本小児泌尿器科学会雑誌"},"volume":"34","number":"1","starting_page":"75","ending_page":"79","languages":["jpn"],"referee":true,"identifiers":{"issn":["1341-0784"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/40488770","label":"url"},{"@id":"https://www.scopus.com/pages/publications/105007532769","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=442961","label":"url"}],"paper_title":{"en":"Vas Guide: a novel device for looping blood vessels in robot-assisted surgery.","ja":"Vas Guide: a novel device for looping blood vessels in robot-assisted surgery."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Fukuta Kyotaro"},{"name":"Yano Tetsuhiro"},{"name":"Nishiyama Mitsuki"},{"name":"Kobayashi Saki"},{"name":"Minato Ryoei"},{"name":"Daizumoto Kei"},{"name":"Tomida Ryotaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"Fukuta Kyotaro"},{"name":"Yano Tetsuhiro"},{"name":"Nishiyama Mitsuki"},{"name":"Kobayashi Saki"},{"name":"Minato Ryoei"},{"name":"大豆本 圭"},{"name":"冨田 諒太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"古川 順也"}]},"description":{"en":"Looping blood vessels in robot-assisted surgery remains challenging because of limitations in instrument articulation, joint length, and the lack of tactile feedback. To address this critical issue, we developed the Vas Guide, a novel device, for safe blood vessel handling. This study aims to establish the efficacy, safety, and durability of the Vas Guide.The Vas Guide is a flat, curved stainless-steel strip with blunt, rounded ends and a hole near the distal end. After sufficient dissection of the posterior surface of the target blood vessel, the Vas Guide with a vessel loop tied to the distal end was passed around the blood vessel in a single step using a suturing-like motion, thereby enabling secure vessel management. It is reusable and has a unit price of approximately $600. We analyzed 83 patients undergoing robot-assisted partial nephrectomy or nephroureterectomy at Tokushima University Hospital: 39 in the Vas Guide group and 44 in the conventional group. Outcomes including looping time, looping-related complication rates, such as collisions between instruments and bleeding, and additional instrument usage were recorded. The National Aeronautics and Space Administration task load index (NASA-TLX) scores were assessed.The patients' characteristics were comparable between the two groups. The Vas Guide group demonstrated significantly better outcomes, including faster looping times (31 vs. 90 s, p < 0.001), fewer looping-related complications (0% vs. 30%, p < 0.001), no additional instrument usage (0% vs. 50%, p < 0.001), and better NASA-TLX scores (26.5 vs. 75.7, p < 0.001). The Vas Guide showed no usability issues, with only minor surface scratches and a slight radius change (8.60 mm to 8.69 mm).This reusable device combines high efficacy, safety, and durability and can be implemented at a relatively low cost.","ja":"Looping blood vessels in robot-assisted surgery remains challenging because of limitations in instrument articulation, joint length, and the lack of tactile feedback. To address this critical issue, we developed the Vas Guide, a novel device, for safe blood vessel handling. This study aims to establish the efficacy, safety, and durability of the Vas Guide.The Vas Guide is a flat, curved stainless-steel strip with blunt, rounded ends and a hole near the distal end. After sufficient dissection of the posterior surface of the target blood vessel, the Vas Guide with a vessel loop tied to the distal end was passed around the blood vessel in a single step using a suturing-like motion, thereby enabling secure vessel management. It is reusable and has a unit price of approximately $600. We analyzed 83 patients undergoing robot-assisted partial nephrectomy or nephroureterectomy at Tokushima University Hospital: 39 in the Vas Guide group and 44 in the conventional group. Outcomes including looping time, looping-related complication rates, such as collisions between instruments and bleeding, and additional instrument usage were recorded. The National Aeronautics and Space Administration task load index (NASA-TLX) scores were assessed.The patients' characteristics were comparable between the two groups. The Vas Guide group demonstrated significantly better outcomes, including faster looping times (31 vs. 90 s, p < 0.001), fewer looping-related complications (0% vs. 30%, p < 0.001), no additional instrument usage (0% vs. 50%, p < 0.001), and better NASA-TLX scores (26.5 vs. 75.7, p < 0.001). The Vas Guide showed no usability issues, with only minor surface scratches and a slight radius change (8.60 mm to 8.69 mm).This reusable device combines high efficacy, safety, and durability and can be implemented at a relatively low cost."},"publication_date":"2025-06-09","publication_name":{"en":"Surgical Endoscopy","ja":"Surgical Endoscopy"},"volume":"39","number":"7","starting_page":"4447","ending_page":"4454","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1007/s00464-025-11835-w"],"issn":["1432-2218"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/40269442","label":"url"},{"@id":"https://www.scopus.com/pages/publications/105003717006","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=437639","label":"url"}],"paper_title":{"en":"Geriatric Nutritional Risk Index Predicts Postoperative Complications in Elderly Patients Undergoing Robot-Assisted Radical Cystectomy","ja":"Geriatric Nutritional Risk Index Predicts Postoperative Complications in Elderly Patients Undergoing Robot-Assisted Radical Cystectomy"},"authors":{"en":[{"name":"Fukuta Kyotaro"},{"name":"Daizumoto Kei"},{"name":"Sasaki Yutaro"},{"name":"Izumi Kazuyoshi"},{"name":"Kadoriku Fumiya"},{"name":"Utsunomiya Seiya"},{"name":"Shiozaki Keito"},{"name":"Nakashima Takeshi"},{"name":"Fukawa Tomoya"},{"name":"Nakanishi Ryoichi"},{"name":"Izaki Hirofumi"},{"name":"Takahashi Masayuki"},{"name":"Furukawa Junya"}],"ja":[{"name":"Fukuta Kyotaro"},{"name":"大豆本 圭"},{"name":"佐々木 雄太郎"},{"name":"Izumi Kazuyoshi"},{"name":"Kadoriku Fumiya"},{"name":"Utsunomiya Seiya"},{"name":"Shiozaki Keito"},{"name":"Nakashima Takeshi"},{"name":"布川 朋也"},{"name":"Nakanishi Ryoichi"},{"name":"井崎 博文"},{"name":"高橋 正幸"},{"name":"古川 順也"}]},"description":{"en":"Malnutrition is a common condition among elderly cancer patients. The Geriatric Nutritional Risk Index (GNRI) is a simple screening tool used to predict the risk of postoperative complications in patients undergoing radical cystectomy. This study aimed to evaluate the effectiveness of preoperative GNRI as a marker for predicting 90-day postoperative complications in elderly patients undergoing robot-assisted radical cystectomy (RARC). We retrospectively evaluated 385 patients who underwent RARC at four affiliated institutes of Tokushima University between 2014 and 2023. Patient background characteristics, pathological findings, and 90-day postoperative complications were analyzed. Preoperative GNRI was calculated using serum albumin and body mass index, with an abnormal nutritional status defined as GNRI < 92. A total of 166 patients aged ≥ 75 years who underwent RARC were included in the study. Among these, 26 patients (15.7%) had an abnormal GNRI. Eighty-four patients (50.6%) experienced complications within 90 days postoperatively, including 29 patients (17.5%) with major complications (Clavien-Dindo classification ≥ 3). The 90-day postoperative mortality rate was 3.0% (five patients). Patients with an abnormal GNRI had a significantly higher rate of 90-day postoperative complications (p < 0.001). Multivariable logistic regression analysis identified abnormal GNRI as a significant predictor of 90-day postoperative complications (odds ratio: 9.963; 95% confidence interval: 2.125-46.718; p = 0.004). Poor nutritional status is associated with a higher rate of 90-day postoperative complications in elderly patients undergoing RARC. Preoperative GNRI may be a useful tool for assessing the risk of complications in this patient population.","ja":"Malnutrition is a common condition among elderly cancer patients. The Geriatric Nutritional Risk Index (GNRI) is a simple screening tool used to predict the risk of postoperative complications in patients undergoing radical cystectomy. This study aimed to evaluate the effectiveness of preoperative GNRI as a marker for predicting 90-day postoperative complications in elderly patients undergoing robot-assisted radical cystectomy (RARC). We retrospectively evaluated 385 patients who underwent RARC at four affiliated institutes of Tokushima University between 2014 and 2023. Patient background characteristics, pathological findings, and 90-day postoperative complications were analyzed. Preoperative GNRI was calculated using serum albumin and body mass index, with an abnormal nutritional status defined as GNRI < 92. A total of 166 patients aged ≥ 75 years who underwent RARC were included in the study. Among these, 26 patients (15.7%) had an abnormal GNRI. Eighty-four patients (50.6%) experienced complications within 90 days postoperatively, including 29 patients (17.5%) with major complications (Clavien-Dindo classification ≥ 3). The 90-day postoperative mortality rate was 3.0% (five patients). Patients with an abnormal GNRI had a significantly higher rate of 90-day postoperative complications (p < 0.001). Multivariable logistic regression analysis identified abnormal GNRI as a significant predictor of 90-day postoperative complications (odds ratio: 9.963; 95% confidence interval: 2.125-46.718; p = 0.004). Poor nutritional status is associated with a higher rate of 90-day postoperative complications in elderly patients undergoing RARC. Preoperative GNRI may be a useful tool for assessing the risk of complications in this patient population."},"publication_date":"2025-04-23","publication_name":{"en":"International Journal of Urology","ja":"International Journal of Urology"},"languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/iju.70070"],"issn":["0919-8172"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2014436","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/40034917","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85214420561","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=427758","label":"url"}],"paper_title":{"en":"A case of laparoscopically assisted vulvar reconstruction using the gluteal fold flap for anterior enterocele after robot-assisted radical cystectomy in a woman.","ja":"A case of laparoscopically assisted vulvar reconstruction using the gluteal fold flap for anterior enterocele after robot-assisted radical cystectomy in a woman."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Yamamoto Yasuyo"},{"name":"Mizuguchi Makoto"},{"name":"Kobayashi Saki"},{"name":"Nagasaka Shinji"},{"name":"Tokunaga Takuya"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"山本 恭代"},{"name":"水口 誠人"},{"name":"Kobayashi Saki"},{"name":"長坂 信司"},{"name":"徳永 卓哉"},{"name":"古川 順也"}]},"description":{"en":"Vaginal complications following radical cystectomy may require surgical treatment. We herein report a case of successful laparoscopically assisted vulvar reconstruction using the gluteal fold flap for anterior enterocele following robot-assisted radical cystectomy. A 71-year-old Japanese woman underwent robot-assisted radical cystectomy for bladder cancer (ypT1ypN1M0). The bladder, urethra, bilateral ovaries, and anterior vaginal wall were removed together transvaginally. The Mercedes-Benz closure technique was performed for vaginal reconstruction using the posterior vaginal wall. Seventeen months after surgery, she complained of a vulvar bulge, and physical examination confirmed a tennis ball-sized anterior enterocele. Therefore, she underwent laparoscopically assisted vulvar reconstruction using the gluteal fold flap. No recurrence had developed at 6 months postoperatively. The combination with laparoscopy allows vulvar reconstruction to be performed safely and efficiently.","ja":"Vaginal complications following radical cystectomy may require surgical treatment. We herein report a case of successful laparoscopically assisted vulvar reconstruction using the gluteal fold flap for anterior enterocele following robot-assisted radical cystectomy. A 71-year-old Japanese woman underwent robot-assisted radical cystectomy for bladder cancer (ypT1ypN1M0). The bladder, urethra, bilateral ovaries, and anterior vaginal wall were removed together transvaginally. The Mercedes-Benz closure technique was performed for vaginal reconstruction using the posterior vaginal wall. Seventeen months after surgery, she complained of a vulvar bulge, and physical examination confirmed a tennis ball-sized anterior enterocele. Therefore, she underwent laparoscopically assisted vulvar reconstruction using the gluteal fold flap. No recurrence had developed at 6 months postoperatively. The combination with laparoscopy allows vulvar reconstruction to be performed safely and efficiently."},"publication_date":"2025-01-02","publication_name":{"en":"IJU Case Reports","ja":"IJU Case Reports"},"volume":"8","number":"2","starting_page":"121","ending_page":"124","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1002/iju5.12823"],"issn":["2577-171X"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/41213645","label":"url"},{"@id":"https://www.scopus.com/pages/publications/105021290303","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=465307","label":"url"}],"paper_title":{"en":"Use of the Assistent Guide Facilitates Ureteral Stent Placement in Robot-Assisted Pyeloplasty.","ja":"Use of the Assistent Guide Facilitates Ureteral Stent Placement in Robot-Assisted Pyeloplasty."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Kobayashi Saki"},{"name":"Daizumoto Kei"},{"name":"Kadoriku Fumiya"},{"name":"Atagi Marika"},{"name":"Yano Tetsuhiro"},{"name":"Nishiyama Mitsuki"},{"name":"Minato Ryoei"},{"name":"Shiozaki Keito"},{"name":"Tomida Ryotaro"},{"name":"Kusuhara Yoshito"},{"name":"Yamaguchi Kunihisa"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"小林 早紀"},{"name":"大豆本 圭"},{"name":"Kadoriku Fumiya"},{"name":"Atagi Marika"},{"name":"Yano Tetsuhiro"},{"name":"Nishiyama Mitsuki"},{"name":"湊 亮詠"},{"name":"塩﨑 啓登"},{"name":"冨田 諒太郎"},{"name":"楠原 義人"},{"name":"山口 邦久"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"古川 順也"}]},"description":{"en":"In robot-assisted pyeloplasty, intraoperative placement of a double-J ureteral stent (DJ stent) is an essential step to ensure ureteral patency and anastomotic healing. However, the procedure can be technically demanding because of limited tactile feedback and the need for precise coordination between the console surgeon (CS) and the patient-side surgeon (PSS). To address these challenges, we applied the Assistent guide (UMIHIRA Co. Ltd., Kyoto, Japan), originally developed for robot-assisted intracorporeal ileal conduit diversion. The device is a stainless-steel instrument with a blunt tip and side hole, accommodating all stent sizes and insertable through a 5-mm trocar. During RAPP, the PSS advances the guide through the trocar to the ureteral anastomosis, the CS inserts the guidewire under direct vision, and the PSS advances the DJ stent antegrade along the guidewire. The CS provides countertraction to stabilize the ureter. Since August 2022, six patients underwent RAPP using this technique. Stent placement was successful in all cases without complications such as stent damage, malpositioning, or ureteral injury. The PSS reported smooth handling and reliable torque transmission compared with conventional methods. The Assistent guide costs approximately ¥80 000 per device and is reusable. Although limited by sample size and single-institution experience, this technique provides a practical solution to a technically challenging step in RAPP. Further multi-institutional evaluation is warranted to confirm safety, efficacy, and broader applicability.","ja":"In robot-assisted pyeloplasty, intraoperative placement of a double-J ureteral stent (DJ stent) is an essential step to ensure ureteral patency and anastomotic healing. However, the procedure can be technically demanding because of limited tactile feedback and the need for precise coordination between the console surgeon (CS) and the patient-side surgeon (PSS). To address these challenges, we applied the Assistent guide (UMIHIRA Co. Ltd., Kyoto, Japan), originally developed for robot-assisted intracorporeal ileal conduit diversion. The device is a stainless-steel instrument with a blunt tip and side hole, accommodating all stent sizes and insertable through a 5-mm trocar. During RAPP, the PSS advances the guide through the trocar to the ureteral anastomosis, the CS inserts the guidewire under direct vision, and the PSS advances the DJ stent antegrade along the guidewire. The CS provides countertraction to stabilize the ureter. Since August 2022, six patients underwent RAPP using this technique. Stent placement was successful in all cases without complications such as stent damage, malpositioning, or ureteral injury. The PSS reported smooth handling and reliable torque transmission compared with conventional methods. The Assistent guide costs approximately ¥80 000 per device and is reusable. Although limited by sample size and single-institution experience, this technique provides a practical solution to a technically challenging step in RAPP. Further multi-institutional evaluation is warranted to confirm safety, efficacy, and broader applicability."},"publication_date":"2025-01","publication_name":{"en":"Asian Journal of Endoscopic Surgery","ja":"Asian Journal of Endoscopic Surgery"},"volume":"18","number":"1","starting_page":"e70178","ending_page":"e70178","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/ases.70178"],"issn":["1758-5910"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2012464","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/39441314","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85207389674","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=442972","label":"url"}],"paper_title":{"en":"Cutaneous ureterostomy following robot-assisted radical cystectomy: a multicenter comparative study of transperitoneal versus retroperitoneal techniques.","ja":"Cutaneous ureterostomy following robot-assisted radical cystectomy: a multicenter comparative study of transperitoneal versus retroperitoneal techniques."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Yamamoto Yasuyo"},{"name":"Fukuta Kyotaro"},{"name":"Izumi Kazuyoshi"},{"name":"Kadoriku Fumiya"},{"name":"Daizumoto Kei"},{"name":"Shiozaki Keito"},{"name":"Tomida Ryotaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yanagihara Yutaka"},{"name":"Yamaguchi Kunihisa"},{"name":"Izaki Hirofumi"},{"name":"Takahashi Masayuki"},{"name":"Okamoto Kenjiro"},{"name":"Yamanaka Masahito"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"山本 恭代"},{"name":"福田 喬太郎"},{"name":"Izumi Kazuyoshi"},{"name":"角陸 文哉"},{"name":"大豆本 圭"},{"name":"Shiozaki Keito"},{"name":"冨田 諒太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"Yanagihara Yutaka"},{"name":"山口 邦久"},{"name":"井崎 博文"},{"name":"高橋 正幸"},{"name":"Okamoto Kenjiro"},{"name":"Yamanaka Masahito"},{"name":"古川 順也"}]},"description":{"en":"Compared with r-CUS, t-CUS was associated with a shorter operative time and lower incidence of perioperative complications, including gastrointestinal complications. We believe that t-CUS can be performed safely and effectively.","ja":"Compared with the r-CUS group, the t-CUS group had significantly shorter operative times (p < 0.001); significantly less estimated blood loss (p < 0.001); and significantly lower incidence of complications (Clavien-Dindo classification grade ≤ 2) within 30 days (p = 0.005). Unexpectedly, the incidence of ileus within 30 days was lower, though the difference was not statistically significant (p = 0.064). During the median follow-up period of 24.3 months, no ileus was observed in either group after 30 days postoperatively. There was no significant difference in the stent-free rate between the groups (p = 0.449). There were also no significant differences in the rates of change in estimated glomerular filtration rate from preoperatively at 3, 6, 12, and 24 months postoperatively between the groups (p = 0.590, p = 0.627, p = 0.741, and p = 0.778, respectively)."},"publication_date":"2024-10-23","publication_name":{"en":"World Journal of Urology","ja":"World Journal of Urology"},"volume":"42","number":"1","starting_page":"591","ending_page":"591","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1007/s00345-024-05300-x"],"issn":["1433-8726"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/39305102","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85204661427","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=442973","label":"url"}],"paper_title":{"en":"Robot-assisted nephroureterectomy using the GelPoint Platform with a focus on optimizing the port position and specimen retrieval.","ja":"Robot-assisted nephroureterectomy using the GelPoint Platform with a focus on optimizing the port position and specimen retrieval."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Yokota Narushi"},{"name":"Nozaki Shuhei"},{"name":"Harada Satoshi"},{"name":"Yano Tetsuhiro"},{"name":"Nishiyama Mitsuki"},{"name":"Kobayashi Saki"},{"name":"Minato Ryoei"},{"name":"Daizumoto Kei"},{"name":"Tomida Ryotaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Takahashi Masayuki"},{"name":"Kanda Kazuya"},{"name":"Kanayama Hiroomi"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"Yokota Narushi"},{"name":"Nozaki Shuhei"},{"name":"Harada Satoshi"},{"name":"矢野 哲弘"},{"name":"西山 美月"},{"name":"小林 早紀"},{"name":"湊 亮詠"},{"name":"大豆本 圭"},{"name":"冨田 諒太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"高橋 正幸"},{"name":"Kanda Kazuya"},{"name":"Kanayama Hiroomi"},{"name":"古川 順也"}]},"description":{"en":"One of the factors that makes robot-assisted nephroureterectomy difficult is that the optimal port position differs between nephrectomy and bladder cuff excision. In addition, how best to retrieve the specimen after resection while minimizing the size of the wound is a challenge in robot-assisted surgery. To solve these problems, we designed a surgical technique for robot-assisted nephroureterectomy using the GelPoint Platform with a focus on port position optimization and specimen retrieval. This study describes the surgical technique of GelPoint robot-assisted nephroureterectomy and reports our initial experience with this technique. Between January 2023 and May 2024, seven patients underwent robot-assisted nephroureterectomy using the GelPoint Platform and 11 underwent conventional robot-assisted nephroureterectomy. We compared the patients' characteristics and surgical outcomes between the two groups. Compared with the conventional robot-assisted nephroureterectomy group, the median operative time tended to be shorter in the GelPoint robot-assisted nephroureterectomy group (280 vs. 357 min, respectively; p = .135). The maximum incision length tended to be longer in the GelPoint robot-assisted nephroureterectomy group (7.0 vs. 6.0 cm, respectively; p = .078). The incidence of 30-day complications was similar between the two groups (28.5% vs. 18.2%, respectively; p = 1.000). No complications were associated with the use of the GelPoint Platform. The surgical outcomes of GelPoint robot-assisted nephroureterectomy are comparable to those of conventional robot-assisted nephroureterectomy, and it can be performed safely and effectively. GelPoint robot-assisted nephroureterectomy can be considered a feasible alternative for selected patients with upper tract urothelial carcinoma.","ja":"One of the factors that makes robot-assisted nephroureterectomy difficult is that the optimal port position differs between nephrectomy and bladder cuff excision. In addition, how best to retrieve the specimen after resection while minimizing the size of the wound is a challenge in robot-assisted surgery. To solve these problems, we designed a surgical technique for robot-assisted nephroureterectomy using the GelPoint Platform with a focus on port position optimization and specimen retrieval. This study describes the surgical technique of GelPoint robot-assisted nephroureterectomy and reports our initial experience with this technique. Between January 2023 and May 2024, seven patients underwent robot-assisted nephroureterectomy using the GelPoint Platform and 11 underwent conventional robot-assisted nephroureterectomy. We compared the patients' characteristics and surgical outcomes between the two groups. Compared with the conventional robot-assisted nephroureterectomy group, the median operative time tended to be shorter in the GelPoint robot-assisted nephroureterectomy group (280 vs. 357 min, respectively; p = .135). The maximum incision length tended to be longer in the GelPoint robot-assisted nephroureterectomy group (7.0 vs. 6.0 cm, respectively; p = .078). The incidence of 30-day complications was similar between the two groups (28.5% vs. 18.2%, respectively; p = 1.000). No complications were associated with the use of the GelPoint Platform. The surgical outcomes of GelPoint robot-assisted nephroureterectomy are comparable to those of conventional robot-assisted nephroureterectomy, and it can be performed safely and effectively. GelPoint robot-assisted nephroureterectomy can be considered a feasible alternative for selected patients with upper tract urothelial carcinoma."},"publication_date":"2024-10","publication_name":{"en":"Asian Journal of Endoscopic Surgery","ja":"Asian Journal of Endoscopic Surgery"},"volume":"17","number":"4","starting_page":"e13386","ending_page":"e13386","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/ases.13386"],"issn":["1758-5910"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2012454","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/39253871","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85203423868","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=442975","label":"url"}],"paper_title":{"en":"Retroperitoneal cutaneous ureterostomy following radical cystectomy: A multicenter comparative study of robotic versus open surgery.","ja":"Retroperitoneal cutaneous ureterostomy following radical cystectomy: A multicenter comparative study of robotic versus open surgery."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Fukuta Kyotaro"},{"name":"Kadoriku Fumiya"},{"name":"Daizumoto Kei"},{"name":"Shiozaki Keito"},{"name":"Tomida Ryotaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yanagihara Yutaka"},{"name":"Nakanishi Ryoichi"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Izaki Hirofumi"},{"name":"Takahashi Masayuki"},{"name":"Okamoto Kenjiro"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"福田 喬太郎"},{"name":"角陸 文哉"},{"name":"大豆本 圭"},{"name":"塩﨑 啓登"},{"name":"冨田 諒太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"Yanagihara Yutaka"},{"name":"Nakanishi Ryoichi"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"井崎 博文"},{"name":"高橋 正幸"},{"name":"Okamoto Kenjiro"},{"name":"古川 順也"}]},"description":{"en":"The aim of this study was to evaluate the differences in perioperative outcomes of cutaneous ureterostomy (CUS) between open surgery (open radical cystectomy, ORC) and robot-assisted surgery (robot-assisted radical cystectomy, RARC), including the stent-free rate, readmission rates due to urinary tract infection (UTI), and changes in renal function. Between 2005 and 2023, a total of 37 patients underwent CUS following ORC, while 24 patients underwent CUS following RARC. Perioperative outcomes were compared between these two groups. The patients in the RARC group were significantly older (p = 0.007) and had a significantly higher proportion of high-risk cases with ASA-PS 3 (p = 0.002). In addition, RARC was associated with a significantly lower estimated blood loss (p < 0.001) and a reduced transfusion rate (p = 0.003). Postoperative complication rates and the stent-free rate were comparable between the ORC and RARC groups. Throughout a median follow-up period of 2.6 years, rates of readmission due to UTI did not differ significantly between the two groups. Moreover, there were no differences in the change in estimated glomerular filtration rate before and after surgery and the 3-year survival rates were similar across both groups. CUS following RARC appears to offer a safer alternative compared with CUS following ORC, and the stent-free rates are comparable. The significantly lower estimated blood loss and transfusion rate associated with RARC are particularly favorable for elderly patients, those who are frail, and individuals with multiple comorbidities.","ja":"The aim of this study was to evaluate the differences in perioperative outcomes of cutaneous ureterostomy (CUS) between open surgery (open radical cystectomy, ORC) and robot-assisted surgery (robot-assisted radical cystectomy, RARC), including the stent-free rate, readmission rates due to urinary tract infection (UTI), and changes in renal function. Between 2005 and 2023, a total of 37 patients underwent CUS following ORC, while 24 patients underwent CUS following RARC. Perioperative outcomes were compared between these two groups. The patients in the RARC group were significantly older (p = 0.007) and had a significantly higher proportion of high-risk cases with ASA-PS 3 (p = 0.002). In addition, RARC was associated with a significantly lower estimated blood loss (p < 0.001) and a reduced transfusion rate (p = 0.003). Postoperative complication rates and the stent-free rate were comparable between the ORC and RARC groups. Throughout a median follow-up period of 2.6 years, rates of readmission due to UTI did not differ significantly between the two groups. Moreover, there were no differences in the change in estimated glomerular filtration rate before and after surgery and the 3-year survival rates were similar across both groups. CUS following RARC appears to offer a safer alternative compared with CUS following ORC, and the stent-free rates are comparable. The significantly lower estimated blood loss and transfusion rate associated with RARC are particularly favorable for elderly patients, those who are frail, and individuals with multiple comorbidities."},"publication_date":"2024-09-10","publication_name":{"en":"International Journal of Urology","ja":"International Journal of Urology"},"volume":"31","number":"12","starting_page":"1408","ending_page":"1413","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/iju.15580"],"issn":["1442-2042"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/38830638","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85195016027","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=410048","label":"url"}],"paper_title":{"en":"Efficacy of educational stepwise robot-assisted radical prostatectomy procedure for urology residents.","ja":"Efficacy of educational stepwise robot-assisted radical prostatectomy procedure for urology residents."},"authors":{"en":[{"name":"Fukuta Kyotaro"},{"name":"Fukawa Tomoya"},{"name":"Kobayashi Saki"},{"name":"Shiozaki Keito"},{"name":"Sasaki Yutaro"},{"name":"Seto Kosuke"},{"name":"Nakanishi Ryoichi"},{"name":"Izaki Hirofumi"},{"name":"Takahashi Masayuki"},{"name":"Kanda Kazuya"},{"name":"Kanayama Hiro-omi"},{"name":"Furukawa Junya"}],"ja":[{"name":"Fukuta Kyotaro"},{"name":"布川 朋也"},{"name":"Kobayashi Saki"},{"name":"Shiozaki Keito"},{"name":"佐々木 雄太郎"},{"name":"Seto Kosuke"},{"name":"Nakanishi Ryoichi"},{"name":"Izaki Hirofumi"},{"name":"高橋 正幸"},{"name":"Kanda Kazuya"},{"name":"金山 博臣"},{"name":"古川 順也"}]},"description":{"en":"To evaluate the effectiveness of an educational stepwise robot-assisted radical prostatectomy (RARP) procedure for urology residents. We performed a detailed evaluation of 42 RARP procedures performed by a single urology resident from July 2019 to February 2022. The RARP procedures were divided into the following nine steps: (1) bladder dissection, (2) endopelvic fascia dissection, (3) bladder neck dissection, (4) seminal vesicle dissection, (5) Denonvilliers' fascia dissection, (6) dorsal vascular complex ligation, (7) dissection of the prostatic apex, (8) posterior anastomosis, and (9) urethro-vesical anastomosis. The procedures were further subcategorized as anatomical understanding, spatial recognition, and technical skills for evaluation of resident training. The surgeries were divided into first and second halves, and patient characteristics and operative outcomes were statistically analyzed. The operative time of each of the nine steps and the reasons for proctor intervention were compared. Among 42 patients, there were no significant differences in operative outcomes between the two groups. The median operative time was 169 min (164 vs. 179 min, p = .12), and the median console time was 128 min (127 vs. 130 min, p = .74). Although there were no significant differences in the time of the nine steps, the resident significantly overcame (7) dissection of the prostatic apex and (8) posterior anastomosis based on the evaluation of the proctored reasons for intervention. Urology residents can safely perform and efficiently learn RARP with this stepwise educational system. This educational stepwise RARP procedure can effectively help residents to develop their skills.","ja":"To evaluate the effectiveness of an educational stepwise robot-assisted radical prostatectomy (RARP) procedure for urology residents. We performed a detailed evaluation of 42 RARP procedures performed by a single urology resident from July 2019 to February 2022. The RARP procedures were divided into the following nine steps: (1) bladder dissection, (2) endopelvic fascia dissection, (3) bladder neck dissection, (4) seminal vesicle dissection, (5) Denonvilliers' fascia dissection, (6) dorsal vascular complex ligation, (7) dissection of the prostatic apex, (8) posterior anastomosis, and (9) urethro-vesical anastomosis. The procedures were further subcategorized as anatomical understanding, spatial recognition, and technical skills for evaluation of resident training. The surgeries were divided into first and second halves, and patient characteristics and operative outcomes were statistically analyzed. The operative time of each of the nine steps and the reasons for proctor intervention were compared. Among 42 patients, there were no significant differences in operative outcomes between the two groups. The median operative time was 169 min (164 vs. 179 min, p = .12), and the median console time was 128 min (127 vs. 130 min, p = .74). Although there were no significant differences in the time of the nine steps, the resident significantly overcame (7) dissection of the prostatic apex and (8) posterior anastomosis based on the evaluation of the proctored reasons for intervention. Urology residents can safely perform and efficiently learn RARP with this stepwise educational system. This educational stepwise RARP procedure can effectively help residents to develop their skills."},"publication_date":"2024-07","publication_name":{"en":"Asian Journal of Endoscopic Surgery","ja":"Asian Journal of Endoscopic Surgery"},"volume":"17","number":"3","starting_page":"e13334","ending_page":"e13334","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/ases.13334"],"issn":["1758-5910"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/38824454","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85195016810","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=410049","label":"url"}],"paper_title":{"en":"Radical prostatectomy using the Hinotori robot-assisted surgical system: Docking-free design may contribute to reduction in postoperative pain.","ja":"Radical prostatectomy using the Hinotori robot-assisted surgical system: Docking-free design may contribute to reduction in postoperative pain."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Kusuhara Yoshito"},{"name":"Oyama Takuro"},{"name":"Nishiyama Mitsuki"},{"name":"Kobayashi Saki"},{"name":"Daizumoto Kei"},{"name":"Tomida Ryotaro"},{"name":"Ueno Yoshiteru"},{"name":"Fukawa Tomoya"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiroomi"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"楠原 義人"},{"name":"大山 拓朗"},{"name":"西山 美月"},{"name":"小林 早紀"},{"name":"大豆本 圭"},{"name":"冨田 諒太郎"},{"name":"Ueno Yoshiteru"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"高橋 正幸"},{"name":"Kanayama Hiroomi"},{"name":"古川 順也"}]},"description":{"en":"The docking-free design of the Japanese Hinotori surgical robotic system allows the robotic arm to avoid trocar grasping, thereby minimising excessive abdominal wall stress. The aim of this study was to evaluate the safety and efficacy of robotic-assisted radical prostatectomy (RARP) using the Hinotori system and to explore the potential contribution of its docking-free design to postoperative pain reduction. This study reviewed the clinical records of 94 patients who underwent RARP: 48 patients in the Hinotori group and 46 in the da Vinci Xi group. Hinotori group had significantly longer operative and console times (p = 0.030 and p = 0.029, respectively). Perioperative complications and oncologic outcomes did not differ between the two groups. On postoperative day 4, the rate of decline from the maximum visual analogue scale score was marginally significant in the Hinotori group (p = 0.062). The docking-free design may contribute to reducing postoperative pain.","ja":"The docking-free design of the Japanese Hinotori surgical robotic system allows the robotic arm to avoid trocar grasping, thereby minimising excessive abdominal wall stress. The aim of this study was to evaluate the safety and efficacy of robotic-assisted radical prostatectomy (RARP) using the Hinotori system and to explore the potential contribution of its docking-free design to postoperative pain reduction. This study reviewed the clinical records of 94 patients who underwent RARP: 48 patients in the Hinotori group and 46 in the da Vinci Xi group. Hinotori group had significantly longer operative and console times (p = 0.030 and p = 0.029, respectively). Perioperative complications and oncologic outcomes did not differ between the two groups. On postoperative day 4, the rate of decline from the maximum visual analogue scale score was marginally significant in the Hinotori group (p = 0.062). The docking-free design may contribute to reducing postoperative pain."},"publication_date":"2024-06","publication_name":{"en":"The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS","ja":"The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS"},"volume":"20","number":"3","starting_page":"e2648","ending_page":"e2648","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1002/rcs.2648"],"issn":["1478-596X"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2000301","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/38686067","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85186572590","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=410050","label":"url"}],"paper_title":{"en":"A novel treatment strategy for bladder hypoplasia: A case of megaureter in a functional solitary kidney.","ja":"A novel treatment strategy for bladder hypoplasia: A case of megaureter in a functional solitary kidney."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Takahashi Masayuki"},{"name":"Nishiyama Mitsuki"},{"name":"Kobayashi Saki"},{"name":"Ueno Yoshiteru"},{"name":"Furukawa Junya"},{"name":"Shimada Kenji"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"高橋 正幸"},{"name":"Nishiyama Mitsuki"},{"name":"Kobayashi Saki"},{"name":"Ueno Yoshiteru"},{"name":"古川 順也"},{"name":"Shimada Kenji"}]},"description":{"en":"We report a case of megaureter in a functional solitary kidney in which surgery was performed after bladder capacity was increased by home bladder cycling. A 6-day-old girl with a left megaureter, a right multicystic dysplastic kidney, and bladder hypoplasia underwent percutaneous left nephrostomy for obstructive renal failure. At 8 months, home bladder cycling was initiated to increase bladder capacity before the planned ureterocystoneostomy. Surgery was performed after bladder capacity increased. The left ureter was compressed by the left umbilical ligament, so ureteral end-to-end anastomosis was performed at 1 year and 4 months. At 2 years and 8 months, cystometry showed age-appropriate bladder capacity and improved bladder compliance. To the best of our knowledge, this is the first report of bladder hypoplasia treated by home bladder cycling.","ja":"We report a case of megaureter in a functional solitary kidney in which surgery was performed after bladder capacity was increased by home bladder cycling. A 6-day-old girl with a left megaureter, a right multicystic dysplastic kidney, and bladder hypoplasia underwent percutaneous left nephrostomy for obstructive renal failure. At 8 months, home bladder cycling was initiated to increase bladder capacity before the planned ureterocystoneostomy. Surgery was performed after bladder capacity increased. The left ureter was compressed by the left umbilical ligament, so ureteral end-to-end anastomosis was performed at 1 year and 4 months. At 2 years and 8 months, cystometry showed age-appropriate bladder capacity and improved bladder compliance. To the best of our knowledge, this is the first report of bladder hypoplasia treated by home bladder cycling."},"publication_date":"2024-05-25","publication_name":{"en":"IJU Case Reports","ja":"IJU Case Reports"},"volume":"7","number":"3","starting_page":"243","ending_page":"246","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1002/iju5.12713"],"issn":["2577-171X"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/38561598","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85189310851","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=442981","label":"url"}],"paper_title":{"en":"Robot-assisted intracorporeal ileal conduit urinary diversion: A two-center comparative study of Bricker versus Wallace ureteroileal anastomosis","ja":"Robot-assisted intracorporeal ileal conduit urinary diversion: A two-center comparative study of Bricker versus Wallace ureteroileal anastomosis"},"authors":{"en":[{"name":"Kadoriku Fumiya"},{"name":"Sasaki Yutaro"},{"name":"Fukuta Kyotaro"},{"name":"Nishiyama Mitsuki"},{"name":"Utsunomiya Seiya"},{"name":"Kobayashi Saki"},{"name":"Shiozaki Keito"},{"name":"Daizumoto Kei"},{"name":"Ueno Yoshiteru"},{"name":"Seto Kosuke"},{"name":"Tomida Ryotaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Nakanishi Ryoichi"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Izaki Hirofumi"},{"name":"Takahashi Masayuki"},{"name":"Furukawa Junya"}],"ja":[{"name":"角陸 文哉"},{"name":"佐々木 雄太郎"},{"name":"福田 喬太郎"},{"name":"西山 美月"},{"name":"Utsunomiya Seiya"},{"name":"小林 早紀"},{"name":"Shiozaki Keito"},{"name":"大豆本 圭"},{"name":"Ueno Yoshiteru"},{"name":"Seto Kosuke"},{"name":"冨田 諒太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"Nakanishi Ryoichi"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"井崎 博文"},{"name":"高橋 正幸"},{"name":"古川 順也"}]},"description":{"en":"This study was performed to evaluate the differences in the perioperative results, renal function, and incidence of hydronephrosis over time between the use of Bricker anastomosis and Wallace anastomosis for robot-assisted intracorporeal ileal conduit urinary diversion (RICIC). Fifty-five patients who underwent RICIC at two institutions were evaluated (Bricker, n = 23; Wallace, n = 32). We investigated changes in estimated glomerular filtration rate and hydronephrosis before surgery and at 3, 6, and 12 months after surgery. The patients in the Bricker group were significantly older than those in the Wallace group. The urinary diversion time was significantly longer in the Bricker group. No significant difference in postoperative renal function was observed. Additionally, no significant difference was observed in the incidence of postoperative hydronephrosis. However, the incidence of right hydronephrosis tended to be high overall, especially in the Wallace group. No patients in either group required repair surgery or ureteral stent placement. In patients undergoing RICIC, there was no difference in postoperative renal function or the incidence of hydronephrosis between Wallace and Bricker anastomosis. Symptomatic hydronephrosis was not observed in either group. The present study showed that each method was equally effective and safe.","ja":"This study was performed to evaluate the differences in the perioperative results, renal function, and incidence of hydronephrosis over time between the use of Bricker anastomosis and Wallace anastomosis for robot-assisted intracorporeal ileal conduit urinary diversion (RICIC). Fifty-five patients who underwent RICIC at two institutions were evaluated (Bricker, n = 23; Wallace, n = 32). We investigated changes in estimated glomerular filtration rate and hydronephrosis before surgery and at 3, 6, and 12 months after surgery. The patients in the Bricker group were significantly older than those in the Wallace group. The urinary diversion time was significantly longer in the Bricker group. No significant difference in postoperative renal function was observed. Additionally, no significant difference was observed in the incidence of postoperative hydronephrosis. However, the incidence of right hydronephrosis tended to be high overall, especially in the Wallace group. No patients in either group required repair surgery or ureteral stent placement. In patients undergoing RICIC, there was no difference in postoperative renal function or the incidence of hydronephrosis between Wallace and Bricker anastomosis. Symptomatic hydronephrosis was not observed in either group. The present study showed that each method was equally effective and safe."},"publication_date":"2024-04","publication_name":{"en":"Asian Journal of Endoscopic Surgery","ja":"Asian Journal of Endoscopic Surgery"},"volume":"17","number":"2","starting_page":"e13307","ending_page":"e13307","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/ases.13307"],"issn":["1758-5910"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/38116859","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85180170927","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=410052","label":"url"}],"paper_title":{"en":"A new trick for scrotal surgery using Doyen intestinal forceps.","ja":"A new trick for scrotal surgery using Doyen intestinal forceps."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Hori Katsuhito"},{"name":"Daizumoto Kei"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Takahashi Masayuki"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"Hori Katsuhito"},{"name":"大豆本 圭"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"高橋 正幸"}]},"publication_date":"2024-04","publication_name":{"en":"International Journal of Urology","ja":"International Journal of Urology"},"volume":"31","number":"4","starting_page":"446","ending_page":"447","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/iju.15366"],"issn":["1442-2042"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/38554230","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85188969651","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=410053","label":"url"}],"paper_title":{"en":"Impact of lymph node dissection on surgical and oncological outcomes in patients undergoing robot-assisted radical cystectomy for bladder cancer: a multicenter retrospective study","ja":"Impact of lymph node dissection on surgical and oncological outcomes in patients undergoing robot-assisted radical cystectomy for bladder cancer: a multicenter retrospective study"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Izumi Kazuyoshi"},{"name":"Fukuta Kyotaro"},{"name":"Kadoriku Fumiya"},{"name":"Atagi Yuichiro"},{"name":"Daizumoto Kei"},{"name":"Shiozaki Keito"},{"name":"Tomida Ryotaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yanagihara Yutaka"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Izaki Hirofumi"},{"name":"Takahashi Masayuki"},{"name":"Okamoto Kenjiro"},{"name":"Yamanaka Masahito"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"Izumi Kazuyoshi"},{"name":"福田 喬太郎"},{"name":"Kadoriku Fumiya"},{"name":"Atagi Yuichiro"},{"name":"大豆本 圭"},{"name":"Shiozaki Keito"},{"name":"冨田 諒太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"Yanagihara Yutaka"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"井崎 博文"},{"name":"高橋 正幸"},{"name":"Okamoto Kenjiro"},{"name":"Yamanaka Masahito"},{"name":"古川 順也"}]},"description":{"en":"This study was performed to clarify the therapeutic and diagnostic roles of lymph node dissection (LND) by examining the impact of LND and lymph node yield (LNY) on oncological outcomes in patients undergoing robot-assisted radical cystectomy (RARC). Between 2014 and 2021, 216 patients underwent LND during RARC at Tokushima University Hospital and affiliated hospitals. Among the 216 patients, we compared 115 patients with an LNY of ≥ 20 and 101 with an LNY of < 20 to investigate the impact of LNY on surgical and oncological outcomes. Furthermore, we investigated the impact of LNY and the extent of LND on oncological outcomes by dividing the extent of LND into two groups (standard and extended). The 3-year rates of overall survival (OS) (p = 0.256), cancer-specific survival (CSS) (p = 0.791), and recurrence-free survival (RFS) (p = 0.953) did not differ between the two groups divided by the LNY. A higher LNY was associated with a significantly higher lymph node positivity rate (p = 0.020). The incidence of LND-related major complications was not significantly different between the two groups (p = 0.910). The 3-year survival rates did not differ between the two groups divided by the extent of LND: OS (p = 0.366), CSS (p = 0.814), and RFS (p = 0.689). The LNY and extent of LND were not associated with oncological outcomes in patients undergoing LND during RARC, whereas a higher LNY was associated with lymph node positivity. In the era of adjuvant therapy with immune checkpoint inhibitors, LND during RARC has an important diagnostic role in the detection of pathological node positivity.","ja":"This study was performed to clarify the therapeutic and diagnostic roles of lymph node dissection (LND) by examining the impact of LND and lymph node yield (LNY) on oncological outcomes in patients undergoing robot-assisted radical cystectomy (RARC). Between 2014 and 2021, 216 patients underwent LND during RARC at Tokushima University Hospital and affiliated hospitals. Among the 216 patients, we compared 115 patients with an LNY of ≥ 20 and 101 with an LNY of < 20 to investigate the impact of LNY on surgical and oncological outcomes. Furthermore, we investigated the impact of LNY and the extent of LND on oncological outcomes by dividing the extent of LND into two groups (standard and extended). The 3-year rates of overall survival (OS) (p = 0.256), cancer-specific survival (CSS) (p = 0.791), and recurrence-free survival (RFS) (p = 0.953) did not differ between the two groups divided by the LNY. A higher LNY was associated with a significantly higher lymph node positivity rate (p = 0.020). The incidence of LND-related major complications was not significantly different between the two groups (p = 0.910). The 3-year survival rates did not differ between the two groups divided by the extent of LND: OS (p = 0.366), CSS (p = 0.814), and RFS (p = 0.689). The LNY and extent of LND were not associated with oncological outcomes in patients undergoing LND during RARC, whereas a higher LNY was associated with lymph node positivity. In the era of adjuvant therapy with immune checkpoint inhibitors, LND during RARC has an important diagnostic role in the detection of pathological node positivity."},"publication_date":"2024-03-30","publication_name":{"en":"Journal of Robotic Surgery","ja":"Journal of Robotic Surgery"},"volume":"18","number":"1","starting_page":"141","ending_page":"141","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1007/s11701-024-01893-y"],"issn":["1863-2491"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2000316","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/38146484","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85179006873","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=410054","label":"url"}],"paper_title":{"en":"A case of laparoscopically assisted transperineal repair of anterior enterocele dehiscence with small bowel evisceration after robot-assisted radical cystectomy","ja":"A case of laparoscopically assisted transperineal repair of anterior enterocele dehiscence with small bowel evisceration after robot-assisted radical cystectomy"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Yamamoto Yasuyo"},{"name":"Kobayashi Saki"},{"name":"Nishi Masaaki"},{"name":"Takahashi Masayuki"},{"name":"Furukawa Junya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"山本 恭代"},{"name":"Kobayashi Saki"},{"name":"Nishi Masaaki"},{"name":"高橋 正幸"},{"name":"古川 順也"}]},"description":{"en":"We herein report a case of successful laparoscopically assisted transperineal repair of anterior enterocele dehiscence with small bowel evisceration after robot-assisted radical cystectomy. A 75-year-old woman underwent robot-assisted radical cystectomy with anterior vaginectomy and urethrectomy for bladder cancer (pTisN0M0). Vaginal reconstruction was performed using the posterior vaginal wall. Four months after surgery, she presented with small bowel evisceration due to anterior enterocele dehiscence. She underwent laparoscopically assisted transperineal repair. The anterior enterocele dehiscence did not occur at the vaginal closure site but instead between the vaginal wall and posterior pubic bone. No recurrence had developed at 2 months postoperatively.","ja":"We herein report a case of successful laparoscopically assisted transperineal repair of anterior enterocele dehiscence with small bowel evisceration after robot-assisted radical cystectomy. A 75-year-old woman underwent robot-assisted radical cystectomy with anterior vaginectomy and urethrectomy for bladder cancer (pTisN0M0). Vaginal reconstruction was performed using the posterior vaginal wall. Four months after surgery, she presented with small bowel evisceration due to anterior enterocele dehiscence. She underwent laparoscopically assisted transperineal repair. The anterior enterocele dehiscence did not occur at the vaginal closure site but instead between the vaginal wall and posterior pubic bone. No recurrence had developed at 2 months postoperatively."},"publication_date":"2024-01","publication_name":{"en":"Urology Case Reports","ja":"Urology Case Reports"},"volume":"52","starting_page":"102629","ending_page":"102629","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1016/j.eucr.2023.102629"],"issn":["2214-4420"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=413849","label":"url"}],"paper_title":{"en":"ロボット支援膀胱全摘除術に伴うリンパ節郭清に関する多施設共同後ろ向き観察研究","ja":"ロボット支援膀胱全摘除術に伴うリンパ節郭清に関する多施設共同後ろ向き観察研究"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"泉 和良"},{"name":"福田 喬太郎"},{"name":"柳原 豊"},{"name":"大豆本 圭"},{"name":"塩崎 啓登"},{"name":"井崎 博文"},{"name":"山中 正人"},{"name":"山師 定"},{"name":"高橋 正幸"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"泉 和良"},{"name":"福田 喬太郎"},{"name":"柳原 豊"},{"name":"大豆本 圭"},{"name":"塩崎 啓登"},{"name":"井崎 博文"},{"name":"山中 正人"},{"name":"山師 定"},{"name":"高橋 正幸"}]},"publication_date":"2023-11","publication_name":{"en":"日本泌尿器内視鏡・ロボティクス学会総会","ja":"日本泌尿器内視鏡・ロボティクス学会総会"},"volume":"37","starting_page":"AP","ending_page":"6","languages":["jpn"],"referee":true,"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/37837342","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85173987092","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=410056","label":"url"}],"paper_title":{"en":"The importance of laparoscopic surgery for young urologists remains unwavering even in the era of robot assisted surgery","ja":"The importance of laparoscopic surgery for young urologists remains unwavering even in the era of robot assisted surgery"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Takahashi Masayuki"},{"name":"Shiozaki Keito"},{"name":"Hori Katsuhito"},{"name":"Kadoriku Fumiya"},{"name":"Daizumoto Kei"},{"name":"Tomida Ryotaro"},{"name":"Ueno Yoshiteru"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Tomita Koichi"},{"name":"Sairyo Koichi"},{"name":"Kanayama Hiroomi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"高橋 正幸"},{"name":"Shiozaki Keito"},{"name":"Hori Katsuhito"},{"name":"Kadoriku Fumiya"},{"name":"大豆本 圭"},{"name":"冨田 諒太郎"},{"name":"Ueno Yoshiteru"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"冨田 江一"},{"name":"西良 浩一"},{"name":"Kanayama Hiroomi"}]},"description":{"en":"Robot-assisted surgery (RAS) cannot be achieved without the performance of laparoscopic surgical techniques by a patient-side surgeon (PSS). In many medical institutions in Japan, young urologists often take on the role of a PSS. Participating in RAS as a PSS provides a good opportunity to acquire not only the knowledge necessary for surgery, but also skills in laparoscopic surgical techniques. Learning laparoscopic surgery as a PSS may contribute to improving the quality of RAS. Furthermore, it will lead to skill improvement as an operator in laparoscopic surgery. However, notably, opportunities for young urologists to perform laparoscopic surgery are decreasing in the current era of RAS. Under these circumstances, we believe that cadaver surgical training will become increasingly important in the future. We believe that performance of cadaver surgical training will contribute to increased motivation, enhance the understanding of surgical procedures, and facilitate the acquisition of surgical techniques.","ja":"Robot-assisted surgery (RAS) cannot be achieved without the performance of laparoscopic surgical techniques by a patient-side surgeon (PSS). In many medical institutions in Japan, young urologists often take on the role of a PSS. Participating in RAS as a PSS provides a good opportunity to acquire not only the knowledge necessary for surgery, but also skills in laparoscopic surgical techniques. Learning laparoscopic surgery as a PSS may contribute to improving the quality of RAS. Furthermore, it will lead to skill improvement as an operator in laparoscopic surgery. However, notably, opportunities for young urologists to perform laparoscopic surgery are decreasing in the current era of RAS. Under these circumstances, we believe that cadaver surgical training will become increasingly important in the future. We believe that performance of cadaver surgical training will contribute to increased motivation, enhance the understanding of surgical procedures, and facilitate the acquisition of surgical techniques."},"publication_date":"2023-10-14","publication_name":{"en":"Asian Journal of Endoscopic Surgery","ja":"Asian Journal of Endoscopic Surgery"},"volume":"17","number":"1","starting_page":"e13254","ending_page":"e13254","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/ases.13254"],"issn":["1758-5910"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/37840362","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85184522620","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=410055","label":"url"}],"paper_title":{"en":"Real-world prostate-specific antigen response and progression to castration-resistant prostate cancer among men with metastatic castration-sensitive prostate cancer treated with apalutamide: a multi-institutional study in the Chu-shikoku Japan Urological Consortium.","ja":"Real-world prostate-specific antigen response and progression to castration-resistant prostate cancer among men with metastatic castration-sensitive prostate cancer treated with apalutamide: a multi-institutional study in the Chu-shikoku Japan Urological Consortium."},"authors":{"en":[{"name":"Tohi Yoichiro"},{"name":"Kato Takuma"},{"name":"Kobayashi Keita"},{"name":"Daizumoto Kei"},{"name":"Fukuhara Hideo"},{"name":"Ohira Shin"},{"name":"Katayama Satoshi"},{"name":"Shimizu Ryutaro"},{"name":"Takamoto Atsushi"},{"name":"Nishimura Kenichi"},{"name":"Ikeda Kenichiro"},{"name":"Nagami Taichi"},{"name":"Hayashida Yushi"},{"name":"Hirama Hiromi"},{"name":"Naito Hirohito"},{"name":"Tomida Ryotaro"},{"name":"Sasaki Yutaro"},{"name":"Yamamoto Shinkuro"},{"name":"Shimizu Shinjiro"},{"name":"Sugimoto Mikio"}],"ja":[{"name":"Tohi Yoichiro"},{"name":"Kato Takuma"},{"name":"Kobayashi Keita"},{"name":"大豆本 圭"},{"name":"Fukuhara Hideo"},{"name":"Ohira Shin"},{"name":"Katayama Satoshi"},{"name":"Shimizu Ryutaro"},{"name":"Takamoto Atsushi"},{"name":"Nishimura Kenichi"},{"name":"Ikeda Kenichiro"},{"name":"Nagami Taichi"},{"name":"Hayashida Yushi"},{"name":"Hirama Hiromi"},{"name":"Naito Hirohito"},{"name":"冨田 諒太郎"},{"name":"佐々木 雄太郎"},{"name":"Yamamoto Shinkuro"},{"name":"Shimizu Shinjiro"},{"name":"Sugimoto Mikio"}]},"description":{"en":"Japanese men receiving apalutamide often experience skin-adverse events (AEs), possibly requiring treatment interruption or dose reduction. However, concerns have arisen regarding the impact of these adjustments on the efficacy of apalutamide. Our study evaluated the efficacy, safety, and persistence of apalutamide in men with metastatic castration-sensitive prostate cancer (mCSPC). We retrospectively reviewed the medical records of 108 men with mCSPC from 14 Japanese institutions. The primary outcomes were the efficacy of apalutamide: prostate-specific antigen (PSA) response (50%, 90% and < 0.2 decline) and progression to castration-resistant prostate cancer (CRPC). The secondary outcomes were the skin-AE and compliance of apalutamide. PSA50%, PSA90% and PSA < 0.2 declines were observed in 89.8, 84.3 and 65.7%, and the median time to CRPC progression was not reached. PSA < 0.2 decline and an initial full dose of apalutamide were significantly associated with a longer time to CRPC. The most common AE was skin-AE (50.9%), and there was no association between the occurrence of skin-AE and the time to CRPC (P = 0.72). The median apalutamide persistence was 29 months, which was longer in the initial full dose recipients than in the reduced dose recipients. The dosage is reduced in about 60% of patients within the first year of treatment in the initial full dose recipients. Our findings indicate the effectiveness of apalutamide in Japanese men with mCSPC, despite a substantial portion requiring dose reduction within a year among the initial full dose recipients.","ja":"Japanese men receiving apalutamide often experience skin-adverse events (AEs), possibly requiring treatment interruption or dose reduction. However, concerns have arisen regarding the impact of these adjustments on the efficacy of apalutamide. Our study evaluated the efficacy, safety, and persistence of apalutamide in men with metastatic castration-sensitive prostate cancer (mCSPC). We retrospectively reviewed the medical records of 108 men with mCSPC from 14 Japanese institutions. The primary outcomes were the efficacy of apalutamide: prostate-specific antigen (PSA) response (50%, 90% and < 0.2 decline) and progression to castration-resistant prostate cancer (CRPC). The secondary outcomes were the skin-AE and compliance of apalutamide. PSA50%, PSA90% and PSA < 0.2 declines were observed in 89.8, 84.3 and 65.7%, and the median time to CRPC progression was not reached. PSA < 0.2 decline and an initial full dose of apalutamide were significantly associated with a longer time to CRPC. The most common AE was skin-AE (50.9%), and there was no association between the occurrence of skin-AE and the time to CRPC (P = 0.72). The median apalutamide persistence was 29 months, which was longer in the initial full dose recipients than in the reduced dose recipients. The dosage is reduced in about 60% of patients within the first year of treatment in the initial full dose recipients. Our findings indicate the effectiveness of apalutamide in Japanese men with mCSPC, despite a substantial portion requiring dose reduction within a year among the initial full dose recipients."},"publication_date":"2023-10-14","publication_name":{"en":"Japanese Journal of Clinical Oncology","ja":"Japanese Journal of Clinical Oncology"},"volume":"54","number":"2","starting_page":"167","ending_page":"174","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1093/jjco/hyad143"],"issn":["1465-3621"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/37772553","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=409910","label":"url"}],"paper_title":{"en":"Effect of Positive Biopsy Core Rate on Low-dose-rate Brachytherapy Outcomes in Intermediate-risk Prostate Cancer.","ja":"Effect of Positive Biopsy Core Rate on Low-dose-rate Brachytherapy Outcomes in Intermediate-risk Prostate Cancer."},"authors":{"en":[{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Fukumori Tomoharu"},{"name":"Ueno Yoshiteru"},{"name":"Daizumoto Kei"},{"name":"Sasaki Yutaro"},{"name":"Tomida Ryotaro"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Tonoiso Chisato"},{"name":"Kubo Akiko"},{"name":"Kawanaka Takashi"},{"name":"Furutani Shunsuke"},{"name":"Ikushima Hitoshi"},{"name":"Kanayama Hiro-omi"},{"name":"Takahashi Masayuki"}],"ja":[{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"福森 知治"},{"name":"Ueno Yoshiteru"},{"name":"大豆本 圭"},{"name":"佐々木 雄太郎"},{"name":"冨田 諒太郎"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"外礒 千智"},{"name":"久保 亜貴子"},{"name":"川中 崇"},{"name":"古谷 俊介"},{"name":"生島 仁史"},{"name":"金山 博臣"},{"name":"高橋 正幸"}]},"description":{"en":"Positive core ratios observed on prostate biopsy correlated with higher recurrence rates after LDR-BT. This indicates that the proportion of positive cores in the biopsy may be an important factor in predicting the likelihood of recurrence, especially for patients with GG3 PCa.","ja":"Positive core ratios observed on prostate biopsy correlated with higher recurrence rates after LDR-BT. This indicates that the proportion of positive cores in the biopsy may be an important factor in predicting the likelihood of recurrence, especially for patients with GG3 PCa."},"publication_date":"2023-10","publication_name":{"en":"Anticancer Research","ja":"Anticancer Research"},"volume":"43","number":"10","starting_page":"4627","ending_page":"4635","languages":["eng"],"referee":true,"identifiers":{"doi":["10.21873/anticanres.16657"],"issn":["1791-7530"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=413852","label":"url"}],"paper_title":{"en":"女性膀胱癌患者におけるRARC後の腟再建の工夫 POPの予防について","ja":"女性膀胱癌患者におけるRARC後の腟再建の工夫 POPの予防について"},"authors":{"en":[{"name":"山本 恭代"},{"name":"Sasaki Yutaro"},{"name":"小林 早紀"},{"name":"津田 恵"},{"name":"西山 美月"},{"name":"大豆本 圭"},{"name":"冨田 諒太郎"},{"name":"上野 恵輝"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"高橋 正幸"}],"ja":[{"name":"山本 恭代"},{"name":"佐々木 雄太郎"},{"name":"小林 早紀"},{"name":"津田 恵"},{"name":"西山 美月"},{"name":"大豆本 圭"},{"name":"冨田 諒太郎"},{"name":"上野 恵輝"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"高橋 正幸"}]},"publication_date":"2023-09","publication_name":{"en":"日本排尿機能学会誌","ja":"日本排尿機能学会誌"},"volume":"34","number":"1","starting_page":"243","ending_page":"243","languages":["jpn"],"referee":true,"identifiers":{"issn":["1347-6513"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/37504506","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85165960914","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=402340","label":"url"}],"paper_title":{"en":"Assistent guide short: A new device for facilitating ureteric stenting in women.","ja":"Assistent guide short: A new device for facilitating ureteric stenting in women."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Takahashi Masayuki"},{"name":"Daizumoto Kei"},{"name":"Shiozaki Keito"},{"name":"Fukawa Tomoya"},{"name":"Kanayama Hiroomi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"高橋 正幸"},{"name":"大豆本 圭"},{"name":"Shiozaki Keito"},{"name":"布川 朋也"},{"name":"Kanayama Hiroomi"}]},"publication_date":"2023-07-28","publication_name":{"en":"International Journal of Urology","ja":"International Journal of Urology"},"languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/iju.15252"],"issn":["1442-2042"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/37489628","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85165549223","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=402341","label":"url"}],"paper_title":{"en":"Lymph node dissection during radical cystectomy for bladder cancer: A two-center comparative study of robotic versus open surgery.","ja":"Lymph node dissection during radical cystectomy for bladder cancer: A two-center comparative study of robotic versus open surgery."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Daizumoto Kei"},{"name":"Fukuta Kyotaro"},{"name":"Shiozaki Keito"},{"name":"Nishiyama Mitsuki"},{"name":"Utsunomiya Seiya"},{"name":"Kobayashi Saki"},{"name":"Seto Kosuke"},{"name":"Ueno Yoshiteru"},{"name":"Tomida Ryotaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Nakanishi Ryoichi"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Izaki Hirofumi"},{"name":"Takahashi Masayuki"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"大豆本 圭"},{"name":"福田 喬太郎"},{"name":"Shiozaki Keito"},{"name":"西山 美月"},{"name":"Utsunomiya Seiya"},{"name":"小林 早紀"},{"name":"Seto Kosuke"},{"name":"Ueno Yoshiteru"},{"name":"冨田 諒太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"Nakanishi Ryoichi"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"井崎 博文"},{"name":"高橋 正幸"}]},"description":{"en":"This study was performed to evaluate the safety and efficacy of lymph node dissection (LND) during robot-assisted radical cystectomy (RARC) compared with open radical cystectomy (ORC). From October 2003 to December 2021, 122 patients underwent LND during RARC and 103 patients underwent LND during ORC at Tokushima University Hospital and Tokushima Prefectural Central Hospital. We investigated the safety and efficacy of LND during RARC by comparing the surgical and oncological outcomes between the two groups. The patients were significantly older in the RARC than the ORC group. The operative time was significantly shorter and the estimated blood loss was significantly lower in the RARC than the ORC group. Although the lymph node yield was significantly higher in the RARC than the ORC group, there was no significant difference in lymph node positivity between the groups. There was no significant difference in the incidence of local recurrence or distant metastasis between the two groups. The 5-year survival rates (overall survival, cancer-specific survival, and recurrence-free survival) were not different between the RARC and ORC groups. This study suggests that the surgical and oncological safety and efficacy of LND during RARC are greater than those of LND during ORC. We believe that LND during RARC is a higher-quality procedure than LND during ORC.","ja":"This study was performed to evaluate the safety and efficacy of lymph node dissection (LND) during robot-assisted radical cystectomy (RARC) compared with open radical cystectomy (ORC). From October 2003 to December 2021, 122 patients underwent LND during RARC and 103 patients underwent LND during ORC at Tokushima University Hospital and Tokushima Prefectural Central Hospital. We investigated the safety and efficacy of LND during RARC by comparing the surgical and oncological outcomes between the two groups. The patients were significantly older in the RARC than the ORC group. The operative time was significantly shorter and the estimated blood loss was significantly lower in the RARC than the ORC group. Although the lymph node yield was significantly higher in the RARC than the ORC group, there was no significant difference in lymph node positivity between the groups. There was no significant difference in the incidence of local recurrence or distant metastasis between the two groups. The 5-year survival rates (overall survival, cancer-specific survival, and recurrence-free survival) were not different between the RARC and ORC groups. This study suggests that the surgical and oncological safety and efficacy of LND during RARC are greater than those of LND during ORC. We believe that LND during RARC is a higher-quality procedure than LND during ORC."},"publication_date":"2023-07-25","publication_name":{"en":"Asian Journal of Endoscopic Surgery","ja":"Asian Journal of Endoscopic Surgery"},"volume":"16","number":"4","starting_page":"724","ending_page":"730","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/ases.13234"],"issn":["1758-5910"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/37355721","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85162927100","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=399092","label":"url"}],"paper_title":{"en":"Insulin receptor expression to predict resistance to axitinib and elucidation of the underlying molecular mechanism in metastatic renal cell carcinoma.","ja":"Insulin receptor expression to predict resistance to axitinib and elucidation of the underlying molecular mechanism in metastatic renal cell carcinoma."},"authors":{"en":[{"name":"Takahashi Masayuki"},{"name":"Daizumoto Kei"},{"name":"Fukawa Tomoya"},{"name":"Fukuhara Yayoi"},{"name":"Bando Yoshimi"},{"name":"Kowada Minoru"},{"name":"Dondoo Tsogt-Ochir"},{"name":"Sasaki Yutaro"},{"name":"Tomida Ryotaro"},{"name":"Ueno Yoshiteru"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Uehara Hisanori"},{"name":"Kanayama Hiroomi"}],"ja":[{"name":"高橋 正幸"},{"name":"大豆本 圭"},{"name":"布川 朋也"},{"name":"福原 弥生"},{"name":"坂東 良美"},{"name":"Kowada Minoru"},{"name":"Dondoo Tsogt-Ochir"},{"name":"佐々木 雄太郎"},{"name":"冨田 諒太郎"},{"name":"Ueno Yoshiteru"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"上原 久典"},{"name":"Kanayama Hiroomi"}]},"description":{"en":"Decreased INSR in RCC could be a biomarker to predict axitinib resistance. Regarding the resistant mechanism, vascular endothelial cells with decreased INSR in RCC may secrete interferon-β and induce PD-L1.","ja":"Decreased INSR in RCC could be a biomarker to predict axitinib resistance. Regarding the resistant mechanism, vascular endothelial cells with decreased INSR in RCC may secrete interferon-β and induce PD-L1."},"publication_date":"2023-06-24","publication_name":{"en":"British Journal of Cancer","ja":"British Journal of Cancer"},"volume":"129","number":"3","starting_page":"521","ending_page":"530","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1038/s41416-023-02325-8"],"issn":["1532-1827"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=413851","label":"url"}],"paper_title":{"en":"ロボット支援体腔内回腸導管造設時の尿管ステント留置を円滑にするための新規デバイス「アシステントガイド」の開発","ja":"ロボット支援体腔内回腸導管造設時の尿管ステント留置を円滑にするための新規デバイス「アシステントガイド」の開発"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"堀 克仁"},{"name":"角陸 文哉"},{"name":"大豆本 圭"},{"name":"上野 恵輝"},{"name":"冨田 諒太郎"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"高橋 正幸"},{"name":"金山 博臣"},{"name":"塩崎 啓登"},{"name":"井崎 博文"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"堀 克仁"},{"name":"角陸 文哉"},{"name":"大豆本 圭"},{"name":"上野 恵輝"},{"name":"冨田 諒太郎"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"高橋 正幸"},{"name":"金山 博臣"},{"name":"塩崎 啓登"},{"name":"井崎 博文"}]},"publication_date":"2023-06","publication_name":{"en":"Shikoku Acta Medica","ja":"四国医学雑誌"},"volume":"79","number":"1-2","starting_page":"136","ending_page":"137","languages":["jpn"],"referee":true,"identifiers":{"issn":["2758-3279"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/37070175","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85153392661","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=399089","label":"url"}],"paper_title":{"en":"Efficacy of fresh-frozen cadaveric surgical training for arteriovenous fistula in vascular access.","ja":"Efficacy of fresh-frozen cadaveric surgical training for arteriovenous fistula in vascular access."},"authors":{"en":[{"name":"Hori Katsuhito"},{"name":"Sasaki Yutaro"},{"name":"Shiozaki Keito"},{"name":"Kadoriku Fumiya"},{"name":"Daizumoto Kei"},{"name":"Tomida Ryotaro"},{"name":"Ueno Yoshiteru"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Takahashi Masayuki"},{"name":"Tsuruo Yoshihiro"},{"name":"Kanayama Hiroomi"}],"ja":[{"name":"Hori Katsuhito"},{"name":"佐々木 雄太郎"},{"name":"Shiozaki Keito"},{"name":"Kadoriku Fumiya"},{"name":"大豆本 圭"},{"name":"冨田 諒太郎"},{"name":"Ueno Yoshiteru"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"高橋 正幸"},{"name":"鶴尾 吉宏"},{"name":"Kanayama Hiroomi"}]},"description":{"en":"CST for AVF creation is useful for surgical education because it enables learning of surgical techniques that are almost equivalent to those in living bodies. In addition, this study suggested that CST not only contributes to the improvement of surgical skills of young surgeons but also promotes the reduction of anxiety and stress about AVF creation.","ja":"Twelve CST sessions were performed on nine FFCs. All training sessions allowed completion of AVF creation with a median operative time of 78.5 min. Although veins and arteries were more difficult to identify than in a living body, other surgical operations could be performed in the same way as in a living body. All the respondents stated that it was good for them to experience CST. In addition, 86% of surgeons responded that CST improved their surgical techniques, and 71% of surgeons responded that they were less anxious about AVF creation."},"publication_date":"2023-04-17","publication_name":{"en":"The Journal of Vascular Access","ja":"The Journal of Vascular Access"},"languages":["eng"],"referee":true,"identifiers":{"doi":["10.1177/11297298231169056"],"issn":["1724-6032"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=413902","label":"url"}],"paper_title":{"en":"A real-world multicenter retrospective observational study of neoadjuvant chemotherapy on clinical outcomes after RARC for muscle-invasive bladder cancer","ja":"A real-world multicenter retrospective observational study of neoadjuvant chemotherapy on clinical outcomes after RARC for muscle-invasive bladder 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in robot-assisted intracorporeal ileal conduit."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Takahashi Masayuki"},{"name":"Fukuta Kyotaro"},{"name":"Shiozaki Keito"},{"name":"Daizumoto Kei"},{"name":"Ueno Yoshiteru"},{"name":"Tomida Ryotaro"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Izaki Hirofumi"},{"name":"Kanayama Hiroomi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"高橋 正幸"},{"name":"Fukuta Kyotaro"},{"name":"Shiozaki Keito"},{"name":"大豆本 圭"},{"name":"Ueno Yoshiteru"},{"name":"冨田 諒太郎"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"井崎 博文"},{"name":"Kanayama Hiroomi"}]},"description":{"en":"We showed the safety and efficacy of the Assistent guide for ureteral stent placement in RICIC.","ja":"We showed the safety and efficacy of the Assistent guide for ureteral stent placement in RICIC."},"publication_date":"2023-03-02","publication_name":{"en":"The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS","ja":"The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS"},"volume":"19","number":"4","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1002/rcs.2513"],"issn":["1478-596X"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2011760","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=401904","label":"url"}],"paper_title":{"en":"Drug-induced de novo thrombotic microangiopathy diagnosed 2 years after renal transplantation: A case report and literature review","ja":"Drug-induced de novo thrombotic microangiopathy diagnosed 2 years after renal transplantation: A case report and literature 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Patients who were admitted to the Stroke Care Unit of our institution between March 2018 and October 2021 were included. To identify factors related to success of TWOC, a multivariate analysis was performed on the patient's condition at admission and catheter indwelling time. The patients were divided into two groups by the timing of catheter removal, and we assessed the relationship between the timing of catheter removal successful TWOC and recovery of physical function. A total of 118 patients were included. The presence of comorbidities and scores of severity and function at admission were not predictors of successful voiding. The time to achieve voiding sussess was significantly shorter in the early catheter removal group than in the later group (p<0.005). Interestingly, the early group also showed better improvements in physical function. Early removal of catheters may lead to early recovery of bladder function, improvement of physical function, and lower risk of complications in patients with stroke. J. Med. Invest. 70 : 436-442, August, 2023.","ja":"The aim of the present study was to identify factors related to the success of trial without catheter (TWOC) in patients with stroke and to examine the effect of the timing of urinary catheter removal on the course of stroke. Patients who were admitted to the Stroke Care Unit of our institution between March 2018 and October 2021 were included. To identify factors related to success of TWOC, a multivariate analysis was performed on the patient's condition at admission and catheter indwelling time. The patients were divided into two groups by the timing of catheter removal, and we assessed the relationship between the timing of catheter removal successful TWOC and recovery of physical function. A total of 118 patients were included. The presence of comorbidities and scores of severity and function at admission were not predictors of successful voiding. The time to achieve voiding sussess was significantly shorter in the early catheter removal group than in the later group (p<0.005). Interestingly, the early group also showed better improvements in physical function. Early removal of catheters may lead to early recovery of bladder function, improvement of physical function, and lower risk of complications in patients with stroke. J. Med. Invest. 70 : 436-442, August, 2023."},"publication_date":"2023","publication_name":{"en":"The Journal of Medical Investigation : JMI","ja":"The Journal of Medical Investigation : JMI"},"volume":"70","number":"3.4","starting_page":"436","ending_page":"442","languages":["eng"],"referee":true,"identifiers":{"doi":["10.2152/jmi.70.436"],"issn":["1349-6867"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2011066","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/37164748","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=399093","label":"url"}],"paper_title":{"en":"The impact of nutritional status and changes of body composition on the prognosis of metastatic renal cell carcinoma patients.","ja":"The impact of nutritional status and changes of body composition on the prognosis of metastatic renal cell carcinoma patients."},"authors":{"en":[{"name":"Ozaki Keisuke"},{"name":"Fukawa Tomoya"},{"name":"Daizumoto Kei"},{"name":"Sasaki Yutaro"},{"name":"Ueno Yoshiteru"},{"name":"Tsuda Megumi"},{"name":"Uchida Takayuki"},{"name":"Kusuhara Yoshito"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"Ozaki Keisuke"},{"name":"布川 朋也"},{"name":"大豆本 圭"},{"name":"佐々木 雄太郎"},{"name":"Ueno Yoshiteru"},{"name":"津田 恵"},{"name":"内田 貴之"},{"name":"楠原 義人"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"高橋 正幸"},{"name":"金山 博臣"}]},"description":{"en":"Nutritional status of mRCC patients may predict changes in body composition and be associated with their prognosis. J. Med. Invest. 70 : 80-87, February, 2023.","ja":"Nutritional status of mRCC patients may predict changes in body composition and be associated with their prognosis. J. Med. Invest. 70 : 80-87, February, 2023."},"publication_date":"2023","publication_name":{"en":"The Journal of Medical Investigation : JMI","ja":"The Journal of Medical Investigation : JMI"},"volume":"70","number":"1.2","starting_page":"80","ending_page":"87","languages":["eng"],"referee":true,"identifiers":{"doi":["10.2152/jmi.70.80"],"issn":["1349-6867"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2011001","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/36881090","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85149520207","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=399091","label":"url"}],"paper_title":{"en":"Prostate-specific Antigen Levels Following Brachytherapy Impact Late Biochemical Recurrence in Japanese Patients With Localized Prostate 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post-treatment were associated with long-term recurrence of localized prostate cancer, which can help alleviate patient anxiety concerning prostate cancer recurrence if PSA levels remain low at 5 years after LDR-BT.","ja":"PSA levels at 5 years post-treatment were associated with long-term recurrence of localized prostate cancer, which can help alleviate patient anxiety concerning prostate cancer recurrence if PSA levels remain low at 5 years after LDR-BT."},"publication_date":"2023","publication_name":{"en":"In Vivo","ja":"In Vivo"},"volume":"37","number":"2","starting_page":"738","ending_page":"746","languages":["eng"],"referee":true,"identifiers":{"doi":["10.21873/invivo.13136"],"issn":["1791-7549"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I032576658","label":"url"},{"@id":"https://cir.nii.ac.jp/crid/1520576215060551680/","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=400486","label":"url"}],"paper_title":{"en":"未固定凍結遺体を用いた心停止下献腎摘出教育の試み","ja":"未固定凍結遺体を用いた心停止下献腎摘出教育の試み"},"authors":{"en":[{"name":"尾﨑 啓介"},{"name":"Yamaguchi Kunihisa"},{"name":"多田 亜沙香"},{"name":"Fukawa Tomoya"},{"name":"Sasaki Yutaro"},{"name":"Kusuhara Yoshito"},{"name":"Yamamoto Yasuyo"},{"name":"林 秀樹"},{"name":"Takahashi Masayuki"},{"name":"Tsuruo Yoshihiro"},{"name":"橋本 寛文"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"尾﨑 啓介"},{"name":"山口 邦久"},{"name":"多田 亜沙香"},{"name":"布川 朋也"},{"name":"佐々木 雄太郎"},{"name":"楠原 義人"},{"name":"山本 恭代"},{"name":"林 秀樹"},{"name":"高橋 正幸"},{"name":"鶴尾 吉宏"},{"name":"橋本 寛文"},{"name":"金山 博臣"}]},"publication_date":"2022-12","publication_name":{"en":"Journal of Japanese Society for Clinical Renal Transplantation","ja":"日本臨床腎移植学会雑誌"},"volume":"10","number":"2","starting_page":"259","ending_page":"261","languages":["jpn"],"referee":true,"identifiers":{"issn":["2187-9907"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2010936","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/36448456","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=399090","label":"url"}],"paper_title":{"en":"Comparison of robot-assisted partial nephrectomy with soft coagulation and double-layer technique for complex and non-complex tumors.","ja":"Comparison of robot-assisted partial nephrectomy with soft coagulation and double-layer technique for complex and non-complex tumors."},"authors":{"en":[{"name":"Shiozaki Keito"},{"name":"Izumi Kazuyoshi"},{"name":"Sasaki Yutaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Izaki Hirofumi"},{"name":"Takahashi Masayuki"},{"name":"Kawanishi Yasuo"},{"name":"Kanayama Hiroomi"}],"ja":[{"name":"Shiozaki Keito"},{"name":"Izumi Kazuyoshi"},{"name":"佐々木 雄太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"井崎 博文"},{"name":"高橋 正幸"},{"name":"Kawanishi Yasuo"},{"name":"Kanayama Hiroomi"}]},"description":{"en":"Single-layer suturing with soft coagulation achieves renal function and perioperative outcomes comparable to those of double-layer suturing regardless of complexity.","ja":"Single-layer suturing with soft coagulation achieves renal function and perioperative outcomes comparable to those of double-layer suturing regardless of complexity."},"publication_date":"2022-11-30","publication_name":{"en":"International Journal of Urology","ja":"International Journal of Urology"},"volume":"30","number":"3","starting_page":"281","ending_page":"288","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/iju.15112"],"issn":["1442-2042"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2011288","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/36344965","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85141380657","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=399086","label":"url"}],"paper_title":{"en":"A propensity score matching study on robot-assisted radical cystectomy for older patients: comparison of intracorporeal ileal conduit and cutaneous ureterostomy.","ja":"A propensity score matching study on robot-assisted radical cystectomy for older patients: comparison of intracorporeal ileal conduit and cutaneous ureterostomy."},"authors":{"en":[{"name":"Kadoriku Fumiya"},{"name":"Sasaki Yutaro"},{"name":"Fukuta Kyotaro"},{"name":"Atagi Yuichiro"},{"name":"Shiozaki Keito"},{"name":"Daizumoto Kei"},{"name":"Tomida Ryotaro"},{"name":"Ueno Yoshiteru"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yanagihara Yutaka"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Izaki Hirofumi"},{"name":"Takahashi Masayuki"},{"name":"Yamashi Sadamu"},{"name":"Kan Masaharu"},{"name":"Kanayama Hiroomi"}],"ja":[{"name":"Kadoriku Fumiya"},{"name":"佐々木 雄太郎"},{"name":"Fukuta Kyotaro"},{"name":"Atagi Yuichiro"},{"name":"Shiozaki Keito"},{"name":"大豆本 圭"},{"name":"冨田 諒太郎"},{"name":"Ueno Yoshiteru"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"Yanagihara Yutaka"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"井崎 博文"},{"name":"高橋 正幸"},{"name":"Yamashi Sadamu"},{"name":"Kan Masaharu"},{"name":"Kanayama Hiroomi"}]},"description":{"en":"In older patients, the ICIC group showed non-inferior surgical and oncological outcomes compared with the CUS group. Urinary diversion following RARC in older patients should be carefully selected by considering not only the age but also the general condition (including comorbidities) of the patient.","ja":"The median age was lower in the ICIC group compared with the CUS group, and the proportion of high-risk cases (ECOG-PS ≥ 2 or ASA-PS ≥ 3) did not differ. The median operation time was longer in the ICIC group, and estimated blood loss was higher, compared with the CUS group. There were no significant differences in the incidence of complications within the first 30 postoperative days, incidence of complications 30-90 days after surgery, 2-year overall survival, 2-year cancer-specific survival, and 2-year recurrence-free survival. The stent-free rate was significantly lower in the CUS group than that in the ICIC group."},"publication_date":"2022-11-07","publication_name":{"en":"BMC Urology","ja":"BMC Urology"},"volume":"22","number":"1","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1186/s12894-022-01123-3"],"issn":["1471-2490"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2012177","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/36160066","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85139230936","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=402342","label":"url"}],"paper_title":{"en":"A case of laparoscopic adhesiotomy for urodynia caused by bladder wall adhesion to the anterior abdominal wall after vesicoscopic ureteral reimplantation for vesicoureteral reflux.","ja":"A case of laparoscopic adhesiotomy for urodynia caused by bladder wall adhesion to the anterior abdominal wall after vesicoscopic ureteral reimplantation for vesicoureteral reflux."},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Takahashi Masayuki"},{"name":"Nishiyama Mitsuki"},{"name":"Kobayashi Saki"},{"name":"Shiozaki Keito"},{"name":"Kanayama Hiroomi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"高橋 正幸"},{"name":"Nishiyama Mitsuki"},{"name":"Kobayashi Saki"},{"name":"Shiozaki Keito"},{"name":"Kanayama Hiroomi"}]},"description":{"en":"We herein report an extremely rare case of urodynia caused by bladder wall adhesion to the anterior abdominal wall after vesicoscopic ureteral reimplantation for vesicoureteral reflux with resolution of the urodynia by laparoscopic adhesiotomy. A 13-year-old girl who had undergone vesicoscopic cross-trigonal ureteral reimplantation for bilateral grade IV vesicoureteral reflux subsequently experienced severe urodynia for 5 years until her self-report to the attending physician. Magnetic resonance imaging suggested that bladder wall adhesion to the anterior abdominal wall may have caused the urodynia. Therefore, laparoscopic adhesiotomy of the bladder was performed. Notably, her urodynia disappeared immediately after surgery.","ja":"We herein report an extremely rare case of urodynia caused by bladder wall adhesion to the anterior abdominal wall after vesicoscopic ureteral reimplantation for vesicoureteral reflux with resolution of the urodynia by laparoscopic adhesiotomy. A 13-year-old girl who had undergone vesicoscopic cross-trigonal ureteral reimplantation for bilateral grade IV vesicoureteral reflux subsequently experienced severe urodynia for 5 years until her self-report to the attending physician. Magnetic resonance imaging suggested that bladder wall adhesion to the anterior abdominal wall may have caused the urodynia. Therefore, laparoscopic adhesiotomy of the bladder was performed. Notably, her urodynia disappeared immediately after surgery."},"publication_date":"2022-09-07","publication_name":{"en":"Urology Case Reports","ja":"Urology Case Reports"},"volume":"45","starting_page":"102216","ending_page":"102216","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1016/j.eucr.2022.102216"],"issn":["2214-4420"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2010989","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/35851694","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=389088","label":"url"}],"paper_title":{"en":"Appropriate management reduces radiation exposure in daily urological practice","ja":"Appropriate management reduces radiation exposure in daily urological practice"},"authors":{"en":[{"name":"Ozaki K."},{"name":"Kawanaka Takashi"},{"name":"Fukawa Tomoya"},{"name":"Daizumoto Kei"},{"name":"Sasaki Yutaro"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"尾崎 啓介"},{"name":"川中 崇"},{"name":"布川 朋也"},{"name":"大豆本 圭"},{"name":"佐々木 雄太郎"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"高橋 正幸"},{"name":"金山 博臣"}]},"description":{"en":"To identify and raise awareness of the radiation exposure of urologists due to X-ray fluoroscopic procedures in daily practice. This was a single-center, cohort study of 30 consecutive patients who underwent periodic percutaneous or transurethral replacements of urinary tract catheters. A total of 55 replacements every 3 months with cases aligned were performed by a single urologist. The urologist's radiation exposure and the incident dose to patients per case were measured with thermoluminescent dosimeters. In the latter 3-month period, the pulse fluoroscopy condition was changed from 15 to 7.5 pulses per second, and collimation was added to the field of view. In the analysis of all patients, the use of a modified pulse rate and collimation did not affect the fluoroscopy time, but it did significantly reduce the air kerma and dose area product; in addition, with respect to the medical exposure dose during percutaneous catheter replacement, fluoroscopy time was longer, but air kerma and dose area product showed significant decreases. As with decreases in medical exposure of patients, the equivalent dose for eye lenses of the urologist decreased from 1.2 mSv in the first 3-month period to 0.2 mSv in the second 3-month period. Similarly, the exposure dose for the extremities also decreased significantly, from 33.9 mSv to 8.1 mSv. Urologists are exposed to non-negligible amounts of radiation due to fluoroscopy. Appropriate management such as modified pulse fluoroscopy condition and precautions are required.","ja":"To identify and raise awareness of the radiation exposure of urologists due to X-ray fluoroscopic procedures in daily practice. This was a single-center, cohort study of 30 consecutive patients who underwent periodic percutaneous or transurethral replacements of urinary tract catheters. A total of 55 replacements every 3 months with cases aligned were performed by a single urologist. The urologist's radiation exposure and the incident dose to patients per case were measured with thermoluminescent dosimeters. In the latter 3-month period, the pulse fluoroscopy condition was changed from 15 to 7.5 pulses per second, and collimation was added to the field of view. In the analysis of all patients, the use of a modified pulse rate and collimation did not affect the fluoroscopy time, but it did significantly reduce the air kerma and dose area product; in addition, with respect to the medical exposure dose during percutaneous catheter replacement, fluoroscopy time was longer, but air kerma and dose area product showed significant decreases. As with decreases in medical exposure of patients, the equivalent dose for eye lenses of the urologist decreased from 1.2 mSv in the first 3-month period to 0.2 mSv in the second 3-month period. Similarly, the exposure dose for the extremities also decreased significantly, from 33.9 mSv to 8.1 mSv. Urologists are exposed to non-negligible amounts of radiation due to fluoroscopy. Appropriate management such as modified pulse fluoroscopy condition and precautions are required."},"publication_date":"2022-07-18","publication_name":{"en":"International Journal of Urology","ja":"International Journal of Urology"},"languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/iju.14971"],"issn":["1442-2042"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/35842843","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85145491982","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=389089","label":"url"}],"paper_title":{"en":"Efficacy of the Mercedes-Benz closure technique for vaginal reconstruction in female robot-assisted radical cystectomy","ja":"Efficacy of the Mercedes-Benz closure technique for vaginal reconstruction in female robot-assisted radical cystectomy"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Daizumoto Kei"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"大豆本 圭"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"金山 博臣"}]},"description":{"en":"Vaginal reconstruction using the posterior vaginal wall is required following radical cystectomy in women with resection of the uterus, adnexa, and anterior vaginal wall. Roll closure and clamshell closure are two widely known techniques. Of these, clamshell closure is recommended because roll closure has a high likelihood of breakdown or a resultant canal that is too narrow for sexual intercourse. In clamshell closure, however, folding the posterior vaginal wall anteriorly can be difficult. Therefore, we devised Mercedes-Benz closure, in which the vaginal wall is sutured from three directions to form a Mercedes-Benz shape, for anastomosis without tension on the vaginal wall. The present study was performed to investigate the efficacy of this alternative surgical technique for vaginal reconstruction. Twenty-six patients who underwent vaginal reconstruction following robot-assisted radical cystectomy were divided into two groups: 15 underwent clamshell closure and 11 underwent Mercedes-Benz closure. The patients' characteristics and surgical outcomes were compared between the two groups. There were no significant differences in clinical characteristics, including age, body mass index, and prior abdominal surgery between the two groups. The median vaginal reconstruction time tended to be longer in the Mercedes-Benz closure group than in the clamshell closure group (35.0 vs. 27.0 min, p = 0.102). No complications associated with vaginal reconstruction were identified. The surgical outcomes were comparable between Mercedes-Benz closure and clamshell closure. If vaginal reconstruction with clamshell closure is difficult, Mercedes-Benz closure is a valuable alternative technique.","ja":"Vaginal reconstruction using the posterior vaginal wall is required following radical cystectomy in women with resection of the uterus, adnexa, and anterior vaginal wall. Roll closure and clamshell closure are two widely known techniques. Of these, clamshell closure is recommended because roll closure has a high likelihood of breakdown or a resultant canal that is too narrow for sexual intercourse. In clamshell closure, however, folding the posterior vaginal wall anteriorly can be difficult. Therefore, we devised Mercedes-Benz closure, in which the vaginal wall is sutured from three directions to form a Mercedes-Benz shape, for anastomosis without tension on the vaginal wall. The present study was performed to investigate the efficacy of this alternative surgical technique for vaginal reconstruction. Twenty-six patients who underwent vaginal reconstruction following robot-assisted radical cystectomy were divided into two groups: 15 underwent clamshell closure and 11 underwent Mercedes-Benz closure. The patients' characteristics and surgical outcomes were compared between the two groups. There were no significant differences in clinical characteristics, including age, body mass index, and prior abdominal surgery between the two groups. The median vaginal reconstruction time tended to be longer in the Mercedes-Benz closure group than in the clamshell closure group (35.0 vs. 27.0 min, p = 0.102). No complications associated with vaginal reconstruction were identified. The surgical outcomes were comparable between Mercedes-Benz closure and clamshell closure. If vaginal reconstruction with clamshell closure is difficult, Mercedes-Benz closure is a valuable alternative technique."},"publication_date":"2022-07-17","publication_name":{"en":"Asian Journal of Endoscopic Surgery","ja":"Asian Journal of Endoscopic Surgery"},"volume":"16","number":"1","starting_page":"23","ending_page":"27","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/ases.13109"],"issn":["1758-5910"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://search.jamas.or.jp/link/ui/2022255956","label":"url"},{"@id":"https://cir.nii.ac.jp/crid/1390573715168780160/","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=400485","label":"url"}],"paper_title":{"en":"A Case of Pappilary Renal Cell Caircinoma which Responded Well to the Combination Therapy of Ipilimumab and Nivolumab --A CASE REPORT--","ja":"イピリムマブ・ニボルマブ併用療法が著効した乳頭状腎細胞癌の1例"},"authors":{"en":[{"name":"Fukatani Yusuke"},{"name":"Daizumoto Kei"},{"name":"Kadoriku Fumiya"},{"name":"山本 拓"},{"name":"Sasaki Yutaro"},{"name":"尾﨑 啓介"},{"name":"上野 恵輝"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiro-omi"},{"name":"Niki Mariko"},{"name":"Uehara Hisanori"}],"ja":[{"name":"深谷 友祐"},{"name":"大豆本 圭"},{"name":"角陸 文哉"},{"name":"山本 拓"},{"name":"佐々木 雄太郎"},{"name":"尾﨑 啓介"},{"name":"上野 恵輝"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"高橋 正幸"},{"name":"金山 博臣"},{"name":"仁木 真理子"},{"name":"上原 久典"}]},"description":{"en":"We report a case of papillary renal cell carcinoma that responded well to the combination of ipilimumab and nivolumab. The patient was a 68-year-old male who was being followed up for a small left renal mass without treatment. Two years later, computed tomography (CT) showed enlarged cervical and para-aortic lymph nodes, and lymph node biopsy suggested metastases of the cancer. After resection of the renal tumor, we performed pararenal aortic lymph node biopsy, and we diagnosed the case as papillary renal cell carcinoma type 1 with lymph node metastasis. The combination of ipilimumab and nivolumab each metastatic site showed regression on CT. Since immune-related adverse events occurred during the therapy nivolumab was discontinued, but partial response of the metastases was maintained.","ja":"We report a case of papillary renal cell carcinoma that responded well to the combination of ipilimumab and nivolumab. The patient was a 68-year-old male who was being followed up for a small left renal mass without treatment. Two years later, computed tomography (CT) showed enlarged cervical and para-aortic lymph nodes, and lymph node biopsy suggested metastases of the cancer. After resection of the renal tumor, we performed pararenal aortic lymph node biopsy, and we diagnosed the case as papillary renal cell carcinoma type 1 with lymph node metastasis. The combination of ipilimumab and nivolumab each metastatic site showed regression on CT. Since immune-related adverse events occurred during the therapy nivolumab was discontinued, but partial response of the metastases was maintained."},"publication_date":"2022-04-30","publication_name":{"en":"Acta Urologica Japonica","ja":"泌尿器科紀要"},"volume":"68","number":"4","starting_page":"107","ending_page":"111","languages":["jpn"],"referee":true,"identifiers":{"doi":["10.14989/actauroljap_68_4_107"],"issn":["0018-1994"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2009279","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/34081290","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=389091","label":"url"}],"paper_title":{"en":"The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men","ja":"The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Takahashi Masayuki"},{"name":"Daizumoto Kei"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"高橋 正幸"},{"name":"大豆本 圭"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"金山 博臣"}]},"description":{"en":"The influence of the console surgeon on the feasibility and outcome of various robot-assisted surgeries has been evaluated. These variables may be partially affected by the skills of the patient-side surgeon (PSS), but this has not been evaluated using objective data. This study aimed to describe the surgical techniques of the PSS in robot-assisted radical cystectomy (RARC) and intracorporeal ileal conduit (ICIC) urinary diversion and objectively examine the changes in surgical outcomes with increasing PSS experience. During a 3-year period, 28 men underwent RARC and ICIC urinary diversion. Clinical characteristics and surgical outcomes were compared between patients who underwent surgery early (first half group) or late in the study period (second half group). The pre-docking incision enabled easy specimen removal. The glove port technique widened the working space of the PSS. The stay suture allowed the PSS to control the distal portion of the conduit, facilitating the passage of the ureteral stents. During stoma creation, pneumoperitoneum pressure was lost by opening the abdominal cavity. To overcome this problem, the robotic arm was used to lift the abdominal wall to maintain the surgical field and facilitate the PSS procedure. Compared with the first half group, the second half group had significantly shorter times for urinary diversion (202 min vs 148 min, p < 0.001), ileal isolation and anastomosis (73 min vs 45 min, p < 0.001), and stenting (23.0 min vs 6.5 min, p < 0.001). As the experience of the PSS increased, the time of the PSS procedures decreased.","ja":"The influence of the console surgeon on the feasibility and outcome of various robot-assisted surgeries has been evaluated. These variables may be partially affected by the skills of the patient-side surgeon (PSS), but this has not been evaluated using objective data. This study aimed to describe the surgical techniques of the PSS in robot-assisted radical cystectomy (RARC) and intracorporeal ileal conduit (ICIC) urinary diversion and objectively examine the changes in surgical outcomes with increasing PSS experience. During a 3-year period, 28 men underwent RARC and ICIC urinary diversion. Clinical characteristics and surgical outcomes were compared between patients who underwent surgery early (first half group) or late in the study period (second half group). The pre-docking incision enabled easy specimen removal. The glove port technique widened the working space of the PSS. The stay suture allowed the PSS to control the distal portion of the conduit, facilitating the passage of the ureteral stents. During stoma creation, pneumoperitoneum pressure was lost by opening the abdominal cavity. To overcome this problem, the robotic arm was used to lift the abdominal wall to maintain the surgical field and facilitate the PSS procedure. Compared with the first half group, the second half group had significantly shorter times for urinary diversion (202 min vs 148 min, p < 0.001), ileal isolation and anastomosis (73 min vs 45 min, p < 0.001), and stenting (23.0 min vs 6.5 min, p < 0.001). As the experience of the PSS increased, the time of the PSS procedures decreased."},"publication_date":"2022-04","publication_name":{"en":"Journal of Robotic Surgery","ja":"Journal of Robotic Surgery"},"volume":"16","number":"2","starting_page":"437","ending_page":"444","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1007/s11701-021-01256-x"],"issn":["1863-2491"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/36244775","label":"url"},{"@id":"https://cir.nii.ac.jp/crid/1390293788341771136/","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=399079","label":"url"}],"paper_title":{"en":"Clinical application of virtual imaging guided Robot-assisted partial nephrectomy.","ja":"Clinical application of virtual imaging guided Robot-assisted partial nephrectomy."},"authors":{"en":[{"name":"Shiozaki Keito"},{"name":"Kawanishi Yasuo"},{"name":"Sasaki Yutaro"},{"name":"Daizumoto Kei"},{"name":"Tsuda Megumi"},{"name":"Izumi Kazuyoshi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiroomi"}],"ja":[{"name":"Shiozaki Keito"},{"name":"Kawanishi Yasuo"},{"name":"佐々木 雄太郎"},{"name":"大豆本 圭"},{"name":"Tsuda Megumi"},{"name":"Izumi Kazuyoshi"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"高橋 正幸"},{"name":"Kanayama Hiroomi"}]},"description":{"en":"Objectives : To evaluate whether virtual partial nephrectomy images could help surgeons identify vascular and collecting system around tumors during actual surgery. Materials & methods : We retrospectively analyzed 36 patients who underwent robot-assisted partial nephrectomy (RAPN) between 2016 and 2017. Virtual partial nephrectomy images were created from preoperative CT images using computer software, and then analyzed. For analysis, blood vessels and collecting system portions within a 5-mm-thick safety margin around the tumor were examined. During analysis, we predicted whether targeted vasculature around the tumor would require clipping or suturing during surgery, and also whether the collecting system would require opening during resection. Surgical outcomes for virtual partial nephrectomy analyses and actual RAPNs were compared and analyzed for sensitivity and specificity. Results : In 36 cases, 119 arteries and 100 veins were targeted on virtual partial nephrectomy images. Arterial suturing or clipping for hemostasis showed a sensitivity and specificity of 83.3% and 84.5%, respectively. For veins, the sensitivity and specificity were 39.1% and 92.2%, respectively. Collecting system opening prediction sensitivity was 85.7%, and specificity was 65.2%. Conclusion : Virtual partial nephrectomy imaging is useful for RAPN planning, particularly regarding arteries and the collecting system. It is hoped that techniques for visualizing veins will improve. J. Med. Invest. 69 : 237-243, August, 2022.","ja":"Objectives : To evaluate whether virtual partial nephrectomy images could help surgeons identify vascular and collecting system around tumors during actual surgery. Materials & methods : We retrospectively analyzed 36 patients who underwent robot-assisted partial nephrectomy (RAPN) between 2016 and 2017. Virtual partial nephrectomy images were created from preoperative CT images using computer software, and then analyzed. For analysis, blood vessels and collecting system portions within a 5-mm-thick safety margin around the tumor were examined. During analysis, we predicted whether targeted vasculature around the tumor would require clipping or suturing during surgery, and also whether the collecting system would require opening during resection. Surgical outcomes for virtual partial nephrectomy analyses and actual RAPNs were compared and analyzed for sensitivity and specificity. Results : In 36 cases, 119 arteries and 100 veins were targeted on virtual partial nephrectomy images. Arterial suturing or clipping for hemostasis showed a sensitivity and specificity of 83.3% and 84.5%, respectively. For veins, the sensitivity and specificity were 39.1% and 92.2%, respectively. Collecting system opening prediction sensitivity was 85.7%, and specificity was 65.2%. Conclusion : Virtual partial nephrectomy imaging is useful for RAPN planning, particularly regarding arteries and the collecting system. It is hoped that techniques for visualizing veins will improve. J. Med. Invest. 69 : 237-243, August, 2022."},"publication_date":"2022","publication_name":{"en":"The Journal of Medical Investigation : JMI","ja":"The Journal of Medical Investigation : JMI"},"volume":"69","number":"3.4","starting_page":"237","ending_page":"243","languages":["eng"],"referee":true,"identifiers":{"doi":["10.2152/jmi.69.237"],"issn":["1349-6867"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"http://id.ndl.go.jp/bib/031646568","label":"url"},{"@id":"https://cir.nii.ac.jp/crid/1523388081028360448/","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=389095","label":"url"}],"paper_title":{"en":"腎移植後のリンパ漏にリンパ管造影が効果的であった3例","ja":"腎移植後のリンパ漏にリンパ管造影が効果的であった3例"},"authors":{"en":[{"name":"Yamaguchi Kunihisa"},{"name":"Sasaki Yutaro"},{"name":"Fukawa Tomoya"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"山口 邦久"},{"name":"佐々木 雄太郎"},{"name":"布川 朋也"},{"name":"高橋 正幸"},{"name":"金山 博臣"}]},"publication_date":"2021-12","publication_name":{"en":"Journal of Japanese Society for Clinical Renal Transplantation","ja":"日本臨床腎移植学会雑誌"},"volume":"1","number":"19","starting_page":"118","ending_page":"121","languages":["jpn"],"referee":true,"identifiers":{"issn":["2187-9907"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"http://id.ndl.go.jp/bib/032170978","label":"url"},{"@id":"https://cir.nii.ac.jp/crid/1390855656035011840/","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=391380","label":"url"}],"paper_title":{"en":"Two Cases of Robot-Assisted Total Pelvic Exenteration and Intracorporeal Ileal Conduit for Locally Advanced Rectal Cancer","ja":"局所進行直腸癌に対してロボット支援骨盤内臓全摘除術および体腔内回腸導管造設術を施行した2例"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"安宅 真利花"},{"name":"多田 航生"},{"name":"中西 亮太"},{"name":"橋本 啓佑"},{"name":"吉岡 拓哉"},{"name":"Daizumoto Kei"},{"name":"Ozaki Keisuke"},{"name":"Ueno Yoshiteru"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiro-omi"},{"name":"Kashihara Hideya"},{"name":"Tokunaga Takuya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"安宅 真利花"},{"name":"多田 航生"},{"name":"中西 亮太"},{"name":"橋本 啓佑"},{"name":"吉岡 拓哉"},{"name":"大豆本 圭"},{"name":"尾崎 啓介"},{"name":"上野 恵輝"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"高橋 正幸"},{"name":"金山 博臣"},{"name":"柏原 秀也"},{"name":"徳永 卓哉"}]},"description":{"en":"We describe two cases of locally advanced rectal cancer (LARC) treated with robot-assisted total pelvic exenteration (Ra-TPE) and intracorporeal ileal conduit (ICIC). The first case was in a 71-year-old man with LARC (RbP, T4bN2bM0, cStage IIIc). He was started on bevacizumab+S-1/oxaliplatin therapy in July 2019. In April 2020, he developed Fournier's gangrene due to subcutaneous penetration of rectal cancer. Emergency drainage and colostomy were performed simultaneously, and a percutaneous vesical fistula was created. In May 2020, Ra-TPE and ICIC were performed. Histopathological analysis revealed moderately differentiated tubular adenocarcinoma (ypT3N0, RM0). At postoperative 9 months, thoracoscopic right upper lobectomy was performed for a right metastatic lung tumor. At present, ie, at postoperative 12 months, the patient has been free of recurrence and metastasis, with a carcinoembryonic antigen (CEA) level of 1.4 ng/ml and carcinoma antigen (CA) 19-9 level of 11 U/ml. The second case was in a 61-year-old man with fistula-associated anal cancer (PRb, T4N3M1b, cStage IVb). In April 2019, he was started on FOLFOXIRI+cetuximab therapy. In August 2020, Ra-TPE, ICIC, and transperineal total mesenteric excision were performed. Histopathological analysis revealed adenocarcinoma (ypT4N0, RM0). At postoperative 11 months, thoracoscopic left lower lobectomy was performed for a left metastatic lung tumor. At present, ie, at postoperative 12 months, the patient remains free of recurrence and metastasis, with a CEA level of 7.3 ng/ml and CA19-9 level of 12 U/ml. Ra-TPE, which allows transperineal removal of a specimen, can be performed as a minimally invasive surgery in combination with ICIC.","ja":"We describe two cases of locally advanced rectal cancer (LARC) treated with robot-assisted total pelvic exenteration (Ra-TPE) and intracorporeal ileal conduit (ICIC). The first case was in a 71-year-old man with LARC (RbP, T4bN2bM0, cStage IIIc). He was started on bevacizumab+S-1/oxaliplatin therapy in July 2019. In April 2020, he developed Fournier's gangrene due to subcutaneous penetration of rectal cancer. Emergency drainage and colostomy were performed simultaneously, and a percutaneous vesical fistula was created. In May 2020, Ra-TPE and ICIC were performed. Histopathological analysis revealed moderately differentiated tubular adenocarcinoma (ypT3N0, RM0). At postoperative 9 months, thoracoscopic right upper lobectomy was performed for a right metastatic lung tumor. At present, ie, at postoperative 12 months, the patient has been free of recurrence and metastasis, with a carcinoembryonic antigen (CEA) level of 1.4 ng/ml and carcinoma antigen (CA) 19-9 level of 11 U/ml. The second case was in a 61-year-old man with fistula-associated anal cancer (PRb, T4N3M1b, cStage IVb). In April 2019, he was started on FOLFOXIRI+cetuximab therapy. In August 2020, Ra-TPE, ICIC, and transperineal total mesenteric excision were performed. Histopathological analysis revealed adenocarcinoma (ypT4N0, RM0). At postoperative 11 months, thoracoscopic left lower lobectomy was performed for a left metastatic lung tumor. At present, ie, at postoperative 12 months, the patient remains free of recurrence and metastasis, with a CEA level of 7.3 ng/ml and CA19-9 level of 12 U/ml. Ra-TPE, which allows transperineal removal of a specimen, can be performed as a minimally invasive surgery in combination with ICIC."},"publication_date":"2021-04-30","publication_name":{"en":"Acta Urologica Japonica","ja":"泌尿器科紀要"},"volume":"68","number":"5","starting_page":"155","ending_page":"159","languages":["jpn"],"referee":true,"identifiers":{"doi":["10.14989/actauroljap_68_5_155"],"issn":["0018-1994"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/34107613","label":"url"},{"@id":"https://www.scopus.com/pages/publications/85108011497","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=391374","label":"url"}],"paper_title":{"en":"A Case of Robot-Assisted Radical Cystoprostatectomy for Locally Advanced Prostate Cancer with Bladder Infiltration","ja":"膀胱浸潤を来たした局所進行性前立腺癌に対してロボット支援腹腔鏡下膀胱前立腺全摘除術を施行した1例"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"角陸 文哉"},{"name":"深谷 友祐"},{"name":"山本 拓"},{"name":"Daizumoto Kei"},{"name":"Ozaki Keisuke"},{"name":"Ueno Yoshiteru"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"角陸 文哉"},{"name":"深谷 友祐"},{"name":"山本 拓"},{"name":"大豆本 圭"},{"name":"尾崎 啓介"},{"name":"上野 恵輝"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"高橋 正幸"},{"name":"金山 博臣"}]},"description":{"en":"While robot-assisted radical cystoprostatectomy (RARC) for locally advanced prostate cancer (LAPC) may sometimes prove to be excessive treatment, it can significantly reduce the risk of positive surgical margins and lower urinary tract obstruction in some cases. Here, we report a case of LAPC treated with RARC in a patient with right hydronephrosis due to bladder infiltration and left hypoplastic kidney. A 71-year-old man presented with frequent urination in August 2019. Prostate-specific antigen (PSA) level was 8.633 ng/ml, and magnetic resonance imaging led to the suspicion that the prostate cancer extended beyond the prostate capsule without distant metastasis. Prostatic biopsy revealed Gleason score 10 (5+5) adenocarcinoma in 8 out of 8 specimens. We diagnosed left hypoplastic kidney and LAPC with right hydronephrosis due to bladder infiltration. We performed percutaneous right nephrostomy and started neoadjuvant hormone therapy. RARC and intracorporeal ileal conduit were performed in March 2020. The prostate was adherent to the anterior surface of the rectum and was difficult to remove. At present, five months after the surgery, the patient remains free of recurrence and metastasis with PSA level <0.003 ng/ml. RARC for LAPC with bladder infiltration can be an effective therapeutic strategy in some cases.","ja":"While robot-assisted radical cystoprostatectomy (RARC) for locally advanced prostate cancer (LAPC) may sometimes prove to be excessive treatment, it can significantly reduce the risk of positive surgical margins and lower urinary tract obstruction in some cases. Here, we report a case of LAPC treated with RARC in a patient with right hydronephrosis due to bladder infiltration and left hypoplastic kidney. A 71-year-old man presented with frequent urination in August 2019. Prostate-specific antigen (PSA) level was 8.633 ng/ml, and magnetic resonance imaging led to the suspicion that the prostate cancer extended beyond the prostate capsule without distant metastasis. Prostatic biopsy revealed Gleason score 10 (5+5) adenocarcinoma in 8 out of 8 specimens. We diagnosed left hypoplastic kidney and LAPC with right hydronephrosis due to bladder infiltration. We performed percutaneous right nephrostomy and started neoadjuvant hormone therapy. RARC and intracorporeal ileal conduit were performed in March 2020. The prostate was adherent to the anterior surface of the rectum and was difficult to remove. At present, five months after the surgery, the patient remains free of recurrence and metastasis with PSA level <0.003 ng/ml. RARC for LAPC with bladder infiltration can be an effective therapeutic strategy in some cases."},"publication_date":"2021-04-30","publication_name":{"en":"Acta Urologica Japonica","ja":"泌尿器科紀要"},"volume":"67","number":"4","starting_page":"163","ending_page":"166","languages":["jpn"],"referee":true,"identifiers":{"doi":["10.14989/ActaUrolJap_67_4_163"],"issn":["0018-1994"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2009413","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/34759153","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=389094","label":"url"}],"paper_title":{"en":"Efficacy of the direct grasping technique using pean forceps under fluoroscopy to replace ureteral stents in women","ja":"Efficacy of the direct grasping technique using pean forceps under fluoroscopy to replace ureteral stents in women"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Takahashi Masayuki"},{"name":"Ozaki Keisuke"},{"name":"Daizumoto Kei"},{"name":"Ueno Yoshiteru"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"高橋 正幸"},{"name":"Ozaki Keisuke"},{"name":"大豆本 圭"},{"name":"Ueno Yoshiteru"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"金山 博臣"}]},"description":{"en":"Purpose : To evaluate the efficacy of the direct grasping technique using pean forceps under fluoroscopic guidance for ureteral stent replacement in women. Methods : Between April 2018 and September 2020, 28 female patients underwent ureteral stent replacements at our facility, and 184 stent replacement procedures were performed. A total of 127 stents were replaced using pean forceps under fluoroscopic guidance (pean forceps group), and 57 stents were replaced using the cystoscope (cystoscopy group). Clinical characteristics and surgical outcomes were compared between the groups. Results : All stents were successfully replaced. There was a statistically significant difference in the procedure time between the two groups (median [interquartile range], pean forceps group : 10.8 [8.2-13.9] minutes vs. cystoscopy group : 15.8 [11.1-20.9] minutes, P < 0.001). There were no intraoperative complications in either group and no difference in the incidence of postoperative complications (pean forceps group : 1.6% vs. cystoscopy group : 1.8%, P = 1.000). Fluoroscopy time was longer in the pean forceps group, although this difference was not statistically significant (pean forceps group : 38.9 [22.6-60.1] seconds vs. cystoscopy group : 33.0 [20.0-48.9] seconds, P = 0.0558). Conclusion : The direct grasping technique using pean forceps under fluoroscopy may be a beneficial alternative to cystoscopy for ureteral stent replacement in women. J. Med. Invest. 68 : 326-329, August, 2021.","ja":"Purpose : To evaluate the efficacy of the direct grasping technique using pean forceps under fluoroscopic guidance for ureteral stent replacement in women. Methods : Between April 2018 and September 2020, 28 female patients underwent ureteral stent replacements at our facility, and 184 stent replacement procedures were performed. A total of 127 stents were replaced using pean forceps under fluoroscopic guidance (pean forceps group), and 57 stents were replaced using the cystoscope (cystoscopy group). Clinical characteristics and surgical outcomes were compared between the groups. Results : All stents were successfully replaced. There was a statistically significant difference in the procedure time between the two groups (median [interquartile range], pean forceps group : 10.8 [8.2-13.9] minutes vs. cystoscopy group : 15.8 [11.1-20.9] minutes, P < 0.001). There were no intraoperative complications in either group and no difference in the incidence of postoperative complications (pean forceps group : 1.6% vs. cystoscopy group : 1.8%, P = 1.000). Fluoroscopy time was longer in the pean forceps group, although this difference was not statistically significant (pean forceps group : 38.9 [22.6-60.1] seconds vs. cystoscopy group : 33.0 [20.0-48.9] seconds, P = 0.0558). Conclusion : The direct grasping technique using pean forceps under fluoroscopy may be a beneficial alternative to cystoscopy for ureteral stent replacement in women. J. Med. Invest. 68 : 326-329, August, 2021."},"publication_date":"2021","publication_name":{"en":"The Journal of Medical Investigation : JMI","ja":"The Journal of Medical Investigation : JMI"},"volume":"3.4","number":"68","starting_page":"326","ending_page":"329","languages":["eng"],"referee":true,"identifiers":{"doi":["10.2152/jmi.68.326"],"issn":["1349-6867"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=459637","label":"url"}],"paper_title":{"en":"cT1非淡明細胞型腎細胞癌に対する腎部分切除術と根治的腎摘除術の予後","ja":"cT1非淡明細胞型腎細胞癌に対する腎部分切除術と根治的腎摘除術の予後"},"authors":{"en":[{"name":"Tomida Ryotaro"},{"name":"安宅 真利花"},{"name":"角陸 文哉"},{"name":"矢野 哲弘"},{"name":"西山 美月"},{"name":"小林 早紀"},{"name":"湊 亮詠"},{"name":"Shiozaki Keito"},{"name":"Daizumoto Kei"},{"name":"Sasaki Yutaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Furukawa Junya"}],"ja":[{"name":"冨田 諒太郎"},{"name":"安宅 真利花"},{"name":"角陸 文哉"},{"name":"矢野 哲弘"},{"name":"西山 美月"},{"name":"小林 早紀"},{"name":"湊 亮詠"},{"name":"塩﨑 啓登"},{"name":"大豆本 圭"},{"name":"佐々木 雄太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"古川 順也"}]},"publication_date":"2025-10","publication_name":{"en":"日本癌治療学会学術集会抄録集","ja":"日本癌治療学会学術集会抄録集"},"volume":"63","starting_page":"P30","ending_page":"3","published_paper_type":"research_institution"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=459636","label":"url"}],"paper_title":{"en":"腎盂尿管癌に対する深達度予測AIシステム開発研究","ja":"腎盂尿管癌に対する深達度予測AIシステム開発研究"},"authors":{"en":[{"name":"福田 喬太郎"},{"name":"Daizumoto Kei"},{"name":"長船 直加"},{"name":"Torii Kohei"},{"name":"Nishimura Ryota"},{"name":"Uehara Hisanori"},{"name":"湊 亮詠"},{"name":"Sasaki Yutaro"},{"name":"Tomida Ryotaro"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"中西 良一"},{"name":"Izaki Hirofumi"},{"name":"Furukawa Junya"}],"ja":[{"name":"福田 喬太郎"},{"name":"大豆本 圭"},{"name":"長船 直加"},{"name":"鳥井 浩平"},{"name":"西村 良太"},{"name":"上原 久典"},{"name":"湊 亮詠"},{"name":"佐々木 雄太郎"},{"name":"冨田 諒太郎"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"中西 良一"},{"name":"井崎 博文"},{"name":"古川 順也"}]},"publication_date":"2025-10","publication_name":{"en":"日本癌治療学会学術集会抄録集","ja":"日本癌治療学会学術集会抄録集"},"volume":"63","starting_page":"YOA","ending_page":"O123","published_paper_type":"research_institution"},"priority":"input_data"} {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=459639","label":"url"}],"paper_title":{"en":"カイコハナサナギタケ冬虫夏草の精子機能への影響","ja":"カイコハナサナギタケ冬虫夏草の精子機能への影響"},"authors":{"en":[{"name":"湊 亮詠"},{"name":"Daizumoto Kei"},{"name":"矢野 哲弘"},{"name":"角陸 文哉"},{"name":"Shiozaki 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