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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.77.1-2.2299f4f96b8-48fe-40f8-93e7-d15ee34bc64e
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
30_Funahashi.pdf (181.4 kB)
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| 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 | |||||
| 言語 | en | |||||
| 著者 |
FUNAHASHI, YASUHITO
× FUNAHASHI, YASUHITO× MUROTANI, KENTA× YOSHINO, YASUSHI× SASSA, NAOTO× ISHIDA, SHOHEI× GOTOH, MOMOKAZU |
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| アクセス権 | ||||||
| アクセス権 | open access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
| 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 | ||||||
| 内容記述タイプ | Abstract | |||||
| 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. | |||||
| 言語 | en | |||||
| 出版者 | ||||||
| 出版者 | Nagoya University School of Medicine | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 出版タイプ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| ID登録 | ||||||
| ID登録 | 10.18999/nagjms.77.1-2.229 | |||||
| ID登録タイプ | JaLC | |||||
| 関連情報 | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | URI | |||||
| 関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7712.html | |||||
| ISSN（print） | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 0027-7622 | |||||
| ISSN（Online） | ||||||
| 収録物識別子タイプ | EISSN | |||||
| 収録物識別子 | 2186-3326 | |||||
| 書誌情報 |
en : Nagoya Journal of Medical Science 巻 77, 号 1-2, p. 229-235, 発行日 2015-02 |
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| 著者版フラグ | ||||||
| 値 | publisher | |||||
| URI | ||||||
| 識別子 | http://hdl.handle.net/2237/21276 | |||||
| 識別子タイプ | HDL | |||||
