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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 77(1-2)

The Renal Tumor Morphological Characteristics that Affect Surgical Planning for Laparoscopic or Open Partial Nephrectomy

https://doi.org/10.18999/nagjms.77.1-2.229
https://doi.org/10.18999/nagjms.77.1-2.229
9f4f96b8-48fe-40f8-93e7-d15ee34bc64e
名前 / ファイル ライセンス アクション
30_Funahashi.pdf 30_Funahashi.pdf (181.4 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2015-02-27
タイトル
タイトル The Renal Tumor Morphological Characteristics that Affect Surgical Planning for Laparoscopic or Open Partial Nephrectomy
著者 FUNAHASHI, YASUHITO

× FUNAHASHI, YASUHITO

WEKO 56079

FUNAHASHI, YASUHITO

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MUROTANI, KENTA

× MUROTANI, KENTA

WEKO 56080

MUROTANI, KENTA

Search repository
YOSHINO, YASUSHI

× YOSHINO, YASUSHI

WEKO 56081

YOSHINO, YASUSHI

Search repository
SASSA, NAOTO

× SASSA, NAOTO

WEKO 56082

SASSA, NAOTO

Search repository
ISHIDA, SHOHEI

× ISHIDA, SHOHEI

WEKO 56083

ISHIDA, SHOHEI

Search repository
GOTOH, MOMOKAZU

× GOTOH, MOMOKAZU

WEKO 56084

GOTOH, MOMOKAZU

Search repository
キーワード
主題Scheme Other
主題 Kidney neoplasms
キーワード
主題Scheme Other
主題 Laparoscopy
キーワード
主題Scheme Other
主題 Nephrectomy
キーワード
主題Scheme Other
主題 ROC Analyses
キーワード
主題Scheme Other
主題 Urologic Surgical Procedures
抄録
内容記述 The purpose of this study is to investigate the morphological characteristics of renal tumors which affect the surgeons’ decision-making for the selection of open or laparoscopic partial nephrectomy. We included 147 patients who underwent partial nephrectomy for renal masses with elective indications in this study. Laparoscopic partial nephrectomy (LPN) and open partial nephrectomy (OPN) were performed in 72 and 75 patients, respectively. Preoperative trans-sectional images were used to assess tumor characteristics such as tumor size, endophyticity, distance from the sinus, distance from the kidney equator, hilar designation, inside designation, and R.E.N.A.L. nephrometry score. Univariate logistic regression analyses demonstrated that tumor size, endophyticity, distance from the sinus, hilar designation, inside designation, and R.E.N.A.L. nephrometry score were associated with decision of laparoscopic partial nephrectomy. Among these factors, multiple regression analyses showed that endophyticity (odds ratio = 0.92, p = 0.007) and distance from the sinus (odds ratio = 1.201, p < 0.001) had statistically significant associations with the type of operation performed. ROC analyses demonstrated cut-off values of 16 mm for endophyticity (sensitivity 69%, specificity 77%) and of 4 mm for distance from the sinus (sensitivity 79%, specificity 65%) for predicting the selection of laparoscopic surgery. In conclusion, this study revealed that endophyticity and distance from the sinus were important for the surgical planning of partial nephrectomy.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.77.1-2.229
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 77, 号 1-2, p. 229-235, 発行日 2015-02
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7712.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/21276
識別子タイプ HDL
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