研究者を探す
佐々木 雄太郎
徳島大学
2024年11月22日更新
- 職名
- 助教
- 電話
- 0886337159
- 電子メール
- yutaro_sasaki@tokushima-u.ac.jp
- 学歴
- 2004/4: 徳島大学 医学部 医学科 ( - 2010. 3.)
2017/4: 徳島大学大学院 医科学教育部医学専攻博士課程 ( - 2021. 9.) (泌尿器科学分野) - 学位
- 博士
- 職歴・経歴
- 2010/4: 愛媛県立中央病院 初期臨床研修医
2012/4: 徳島大学病院 泌尿器科 医員
2013/4: 愛媛県立中央病院 泌尿器科 医員
2015/4: 高松赤十字病院 泌尿器科 医員
2017/4: 徳島県立中央病院 泌尿器科 医長
2019/4: 徳島大学病院 泌尿器科 医員
2022/3: 徳島大学病院 泌尿器科 助教
- 専門分野・研究分野
- ライフサイエンス (Life sciences) [泌尿器科学 (Urology)]
2024年11月22日更新
- 専門分野・研究分野
- ライフサイエンス (Life sciences) [泌尿器科学 (Urology)]
- 担当経験のある授業科目
- 泌尿器科学(隣接医学B) (学部)
腎・尿路・男性生殖器コース (学部) - 指導経験
- 研究者総覧に該当データはありませんでした。
2024年11月22日更新
- 専門分野・研究分野
- ライフサイエンス (Life sciences) [泌尿器科学 (Urology)]
- 研究テーマ
- 研究者総覧に該当データはありませんでした。
- 著書
- 研究者総覧に該当データはありませんでした。
- 論文
- Kyotaro Fukuta, Tomoya Fukawa, Saki Kobayashi, Keito Shiozaki, Yutaro Sasaki, Kosuke Seto, Ryoichi Nakanishi, Hirofumi Izaki, Masayuki Takahashi, Kazuya Kanda, Hiro-omi Kanayama and Junya Furukawa :
Efficacy of educational stepwise robot-assisted radical prostatectomy procedure for urology residents.,
Asian Journal of Endoscopic Surgery, Vol.17, No.3, e13334, 2024.- (要約)
- 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.
- (キーワード)
- Humans / Prostatectomy / Internship and Residency / Robotic Surgical Procedures / 男性 (male) / Middle Aged / 泌尿器科学 (urology) / Clinical Competence / Aged / Operative Time / Prostatic Neoplasms / Retrospective Studies
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1111/ases.13334
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 38830638
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85195016027
(DOI: 10.1111/ases.13334, PubMed: 38830638, Elsevier: Scopus) Yutaro Sasaki, Yoshito Kusuhara, Takuro Oyama, Mitsuki Nishiyama, Saki Kobayashi, Kei Daizumoto, Ryotaro Tomida, Yoshiteru Ueno, Tomoya Fukawa, Kunihisa Yamaguchi, Yasuyo Yamamoto, Masayuki Takahashi, Hiroomi Kanayama and Junya Furukawa :
Radical prostatectomy using the Hinotori robot-assisted surgical system: Docking-free design may contribute to reduction in postoperative pain.,
The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS, Vol.20, No.3, e2648, 2024.- (要約)
- 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.
- (キーワード)
- Humans / Prostatectomy / Robotic Surgical Procedures / Male / Pain, Postoperative / Middle Aged / Aged / Prostatic Neoplasms / Treatment Outcome / Retrospective Studies / Operative Time
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1002/rcs.2648
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 38824454
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85195016810
(DOI: 10.1002/rcs.2648, PubMed: 38824454, Elsevier: Scopus) Yutaro Sasaki, Masayuki Takahashi, Mitsuki Nishiyama, Saki Kobayashi, Yoshiteru Ueno, Junya Furukawa and Kenji Shimada :
A novel treatment strategy for bladder hypoplasia: A case of megaureter in a functional solitary kidney.,
IJU Case Reports, Vol.7, No.3, 243-246, 2024.- (要約)
- 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.
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1002/iju5.12713
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 38686067
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85186572590
(DOI: 10.1002/iju5.12713, PubMed: 38686067, Elsevier: Scopus) Yutaro Sasaki, Katsuhito Hori, Kei Daizumoto, Yoshito Kusuhara, Tomoya Fukawa and Masayuki Takahashi :
A new trick for scrotal surgery using Doyen intestinal forceps.,
International Journal of Urology, Vol.31, No.4, 446-447, 2024.- (キーワード)
- Humans / Anastomosis, Surgical / Surgical Instruments
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1111/iju.15366
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 38116859
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85180170927
(DOI: 10.1111/iju.15366, PubMed: 38116859, Elsevier: Scopus) Fumiya Kadoriku, Yutaro Sasaki, Kyotaro Fukuta, Mitsuki Nishiyama, Seiya Utsunomiya, Saki Kobayashi, Keito Shiozaki, Kei Daizumoto, Yoshiteru Ueno, Kosuke Seto, Ryotaro Tomida, Yoshito Kusuhara, Tomoya Fukawa, Ryoichi Nakanishi, Kunihisa Yamaguchi, Yasuyo Yamamoto, Hirofumi Izaki, Masayuki Takahashi and Junya Furukawa :
Robot-assisted intracorporeal ileal conduit urinary diversion: A two-center comparative study of Bricker versus Wallace ureteroileal anastomosis,
Asian Journal of Endoscopic Surgery, Vol.17, No.2, e13307, 2024.- (要約)
- 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.
- (キーワード)
- Humans / Robotics / Ileum / Urinary Diversion / Cystectomy / Hydronephrosis / Anastomosis, Surgical / Urinary Bladder Neoplasms
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1111/ases.13307
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 38561598
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85189310851
(DOI: 10.1111/ases.13307, PubMed: 38561598, Elsevier: Scopus) Yutaro Sasaki, Kazuyoshi Izumi, Kyotaro Fukuta, Fumiya Kadoriku, Yuichiro Atagi, Kei Daizumoto, Keito Shiozaki, Ryotaro Tomida, Yoshito Kusuhara, Tomoya Fukawa, Yutaka Yanagihara, Kunihisa Yamaguchi, Yasuyo Yamamoto, Hirofumi Izaki, Masayuki Takahashi, Kenjiro Okamoto, Masahito Yamanaka and Junya Furukawa :
Impact of lymph node dissection on surgical and oncological outcomes in patients undergoing robot-assisted radical cystectomy for bladder cancer: a multicenter retrospective study,
Journal of Robotic Surgery, Vol.18, No.1, 141, 2024.- (要約)
- 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.
- (キーワード)
- Humans / Cystectomy / Lymph Node Excision / Retrospective Studies / Robotic Surgical Procedures / Treatment Outcome / Urinary Bladder Neoplasms
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1007/s11701-024-01893-y
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 38554230
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85188969651
(DOI: 10.1007/s11701-024-01893-y, PubMed: 38554230, Elsevier: Scopus) Yutaro Sasaki, Yasuyo Yamamoto, Saki Kobayashi, Masaaki Nishi, Masayuki Takahashi and Junya Furukawa :
A case of laparoscopically assisted transperineal repair of anterior enterocele dehiscence with small bowel evisceration after robot-assisted radical cystectomy,
Urology Case Reports, Vol.52, 102629, 2024.- (要約)
- 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.
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1016/j.eucr.2023.102629
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 38146484
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85179006873
(DOI: 10.1016/j.eucr.2023.102629, PubMed: 38146484, Elsevier: Scopus) 佐々木 雄太郎, 泉 和良, 福田 喬太郎, 柳原 豊, 大豆本 圭, 塩崎 啓登, 井崎 博文, 山中 正人, 山師 定, 高橋 正幸 :
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,
日本泌尿器内視鏡・ロボティクス学会総会, Vol.37, AP-6, 2023年. Yutaro Sasaki, Masayuki Takahashi, Keito Shiozaki, Katsuhito Hori, Fumiya Kadoriku, Kei Daizumoto, Ryotaro Tomida, Yoshiteru Ueno, Yoshito Kusuhara, Tomoya Fukawa, Kunihisa Yamaguchi, Yasuyo Yamamoto, Koichi Tomita, Koichi Sairyo and Hiroomi Kanayama :
The importance of laparoscopic surgery for young urologists remains unwavering even in the era of robot assisted surgery,
Asian Journal of Endoscopic Surgery, Vol.17, No.1, e13254, 2023.- (要約)
- 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.
- (キーワード)
- Humans / Robotic Surgical Procedures / Urologists / Laparoscopy / Clinical Competence / Cadaver
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1111/ases.13254
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37837342
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85173987092
(DOI: 10.1111/ases.13254, PubMed: 37837342, Elsevier: Scopus) Yoichiro Tohi, Takuma Kato, Keita Kobayashi, Kei Daizumoto, Hideo Fukuhara, Shin Ohira, Satoshi Katayama, Ryutaro Shimizu, Atsushi Takamoto, Kenichi Nishimura, Kenichiro Ikeda, Taichi Nagami, Yushi Hayashida, Hiromi Hirama, Hirohito Naito, Ryotaro Tomida, Yutaro Sasaki, Shinkuro Yamamoto, Shinjiro Shimizu and Mikio Sugimoto :
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.,
Japanese Journal of Clinical Oncology, Vol.54, No.2, 167-174, 2023.- (要約)
- 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.
- (キーワード)
- 男性 (male) / Humans / Prostate-Specific Antigen / Prostatic Neoplasms, Castration-Resistant / 日本 (Japan) / Retrospective Studies / Castration / Thiohydantoins
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1093/jjco/hyad143
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37840362
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85184522620
(DOI: 10.1093/jjco/hyad143, PubMed: 37840362, Elsevier: Scopus) Yoshito Kusuhara, Tomoya Fukawa, Tomoharu Fukumori, Yoshiteru Ueno, Kei Daizumoto, Yutaro Sasaki, Ryotaro Tomida, Yasuyo Yamamoto, Kunihisa Yamaguchi, Chisato Tonoiso, Akiko Kubo, Takashi Kawanaka, Shunsuke Furutani, Hitoshi Ikushima, Hiro-omi Kanayama and Masayuki Takahashi :
Effect of Positive Biopsy Core Rate on Low-dose-rate Brachytherapy Outcomes in Intermediate-risk Prostate Cancer.,
Anticancer Research, Vol.43, No.10, 4627-4635, 2023.- (要約)
- 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.
- (キーワード)
- Male / Humans / Retrospective Studies / Brachytherapy / Prostatic Neoplasms / Neoplasm Grading / Biopsy / Prostate-Specific Antigen
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.21873/anticanres.16657
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37772553
- ● Search Scopus @ Elsevier (PMID): 37772553
- ● Search Scopus @ Elsevier (DOI): 10.21873/anticanres.16657
(DOI: 10.21873/anticanres.16657, PubMed: 37772553) 山本 恭代, 佐々木 雄太郎, 小林 早紀, 津田 恵, 西山 美月, 大豆本 圭, 冨田 諒太郎, 上野 恵輝, 楠原 義人, 布川 朋也, 山口 邦久, 高橋 正幸 :
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,
日本排尿機能学会誌, Vol.34, No.1, 243, 2023年. Yutaro Sasaki, Masayuki Takahashi, Kei Daizumoto, Keito Shiozaki, Tomoya Fukawa and Hiroomi Kanayama :
Assistent guide short: A new device for facilitating ureteric stenting in women.,
International Journal of Urology, 2023.- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1111/iju.15252
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37504506
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85165960914
(DOI: 10.1111/iju.15252, PubMed: 37504506, Elsevier: Scopus) Yutaro Sasaki, Kei Daizumoto, Kyotaro Fukuta, Keito Shiozaki, Mitsuki Nishiyama, Seiya Utsunomiya, Saki Kobayashi, Kosuke Seto, Yoshiteru Ueno, Ryotaro Tomida, Yoshito Kusuhara, Tomoya Fukawa, Ryoichi Nakanishi, Kunihisa Yamaguchi, Yasuyo Yamamoto, Hirofumi Izaki and Masayuki Takahashi :
Lymph node dissection during radical cystectomy for bladder cancer: A two-center comparative study of robotic versus open surgery.,
Asian Journal of Endoscopic Surgery, 2023.- (要約)
- 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.
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1111/ases.13234
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37489628
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85165549223
(DOI: 10.1111/ases.13234, PubMed: 37489628, Elsevier: Scopus) Masayuki Takahashi, Kei Daizumoto, Tomoya Fukawa, Yayoi Fukuhara, Yoshimi Bando, Minoru Kowada, Tsogt-Ochir Dondoo, Yutaro Sasaki, Ryotaro Tomida, Yoshiteru Ueno, Megumi Tsuda, Yoshito Kusuhara, Kunihisa Yamaguchi, Yasuyo Yamamoto, Hisanori Uehara and Hiroomi Kanayama :
Insulin receptor expression to predict resistance to axitinib and elucidation of the underlying molecular mechanism in metastatic renal cell carcinoma.,
British Journal of Cancer, 2023.- (要約)
- 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.
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1038/s41416-023-02325-8
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37355721
- ● Search Scopus @ Elsevier (PMID): 37355721
- ● Search Scopus @ Elsevier (DOI): 10.1038/s41416-023-02325-8
(DOI: 10.1038/s41416-023-02325-8, PubMed: 37355721) 佐々木 雄太郎, 堀 克仁, 角陸 文哉, 大豆本 圭, 上野 恵輝, 冨田 諒太郎, 津田 恵, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 高橋 正幸, 金山 博臣, 塩崎 啓登, 井崎 博文 :
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,
四国医学雑誌, Vol.79, No.1-2, 136-137, 2023年. Katsuhito Hori, Yutaro Sasaki, Keito Shiozaki, Fumiya Kadoriku, Kei Daizumoto, Ryotaro Tomida, Yoshiteru Ueno, Megumi Tsuda, Yoshito Kusuhara, Tomoya Fukawa, Kunihisa Yamaguchi, Yasuyo Yamamoto, Masayuki Takahashi, Yoshihiro Tsuruo and Hiroomi Kanayama :
Efficacy of fresh-frozen cadaveric surgical training for arteriovenous fistula in vascular access.,
The Journal of Vascular Access, 2023.- (要約)
- 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.
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1177/11297298231169056
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37070175
- ● Search Scopus @ Elsevier (PMID): 37070175
- ● Search Scopus @ Elsevier (DOI): 10.1177/11297298231169056
(DOI: 10.1177/11297298231169056, PubMed: 37070175) Yutaro Sasaki :
A real-world multicenter retrospective observational study of neoadjuvant chemotherapy on clinical outcomes after RARC for muscle-invasive bladder cancer,
日本泌尿器科学会総会, Vol.110, OP36-01, 2023. Yutaro Sasaki :
A case of laparoscopic adhesiotomy for urodynia caused by bladder wall adhesion to the abdominal wall after vesicoscopic ureteral reimplantation for VUR,
The 110th Annual Meeting of the Japanese Urological Association, Vol.110, OP65-05, 2023. 高橋 正幸, 大豆本 圭, 佐々木 雄太郎, 冨田 諒太郎, 上野 恵輝, 津田 恵, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 金山 博臣 :
有転移腎細胞癌に対する薬物療法のNext 10 Years,
西日本泌尿器科, Vol.85, 145-152, 2023年. Yutaro Sasaki, Masayuki Takahashi, Kyotaro Fukuta, Keito Shiozaki, Kei Daizumoto, Yoshiteru Ueno, Ryotaro Tomida, Megumi Tsuda, Yoshito Kusuhara, Tomoya Fukawa, Kunihisa Yamaguchi, Yasuyo Yamamoto, Hirofumi Izaki and Hiroomi Kanayama :
Assistent guide: A novel device for ureteral stent placement in robot-assisted intracorporeal ileal conduit.,
The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS, Vol.19, No.4, 2023.- (要約)
- We showed the safety and efficacy of the Assistent guide for ureteral stent placement in RICIC.
- (キーワード)
- Humans / Cystectomy / ロボティクス (robotics) / Urinary Diversion / Stents / Ureteral Obstruction / Treatment Outcome
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1002/rcs.2513
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36840720
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85149381419
(DOI: 10.1002/rcs.2513, PubMed: 36840720, Elsevier: Scopus) Kunihisa Yamaguchi, Keisuke Ozaki, Tomoya Fukawa, Yutaro Sasaki, Shu Wakino and Masayuki Takahashi :
Drug-induced de novo thrombotic microangiopathy diagnosed 2 years after renal transplantation: A case report and literature review,
Renal Replacement Therapy, Vol.9, 1-6, 2023.- (徳島大学機関リポジトリ)
- ● Metadata: 119041
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1186/s41100-022-00453-0
- (文献検索サイトへのリンク)
- ● Search Scopus @ Elsevier (DOI): 10.1186/s41100-022-00453-0
(徳島大学機関リポジトリ: 119041, DOI: 10.1186/s41100-022-00453-0) Megumi Tsuda, Tomoya Fukawa, Yasuyo Yamamoto, Kei Daizumoto, Yutaro Sasaki, Yoshiteru Ueno, Ryotaro Tomida, Yoshito Kusuhara, Kunihisa Yamaguchi, Masayuki Takahashi and Hiro-omi Kanayama :
Impact of early urinary catheter removal on successful voiding and physical function in stroke patients.,
The Journal of Medical Investigation : JMI, Vol.70, No.3.4, 436-442, 2023.- (要約)
- 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.
- (キーワード)
- Humans / Urinary Catheterization / Urinary Catheters / Catheters, Indwelling / Stroke / Device Removal
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.2152/jmi.70.436
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37940529
- ● CiNii @ 国立情報学研究所 (CRID): 1390298068225662720
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85176414269
(DOI: 10.2152/jmi.70.436, PubMed: 37940529, CiNii: 1390298068225662720, Elsevier: Scopus) Keisuke Ozaki, Tomoya Fukawa, Kei Daizumoto, Yutaro Sasaki, Yoshiteru Ueno, Megumi Tsuda, Takayuki Uchida, Yoshito Kusuhara, Yasuyo Yamamoto, Kunihisa Yamaguchi, Masayuki Takahashi and Hiro-omi Kanayama :
The impact of nutritional status and changes of body composition on the prognosis of metastatic renal cell carcinoma patients.,
The Journal of Medical Investigation : JMI, Vol.70, No.1.2, 80-87, 2023.- (要約)
- 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.
- (キーワード)
- Humans / Carcinoma, Renal Cell / Kidney Neoplasms / Nutritional Status / Prognosis / Body Composition / Retrospective Studies / Protein Kinase Inhibitors
- (徳島大学機関リポジトリ)
- ● Metadata: 118311
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.2152/jmi.70.80
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37164748
- ● Search Scopus @ Elsevier (PMID): 37164748
- ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.70.80
(徳島大学機関リポジトリ: 118311, DOI: 10.2152/jmi.70.80, PubMed: 37164748) Yoshiteru Ueno, Tomoharu Fukumori, Yoshito Kusuhara, Tomoya Fukawa, Megumi Tsuda, Kei Daizumoto, Yutaro Sasaki, Ryotaro Tomida, Yasuyo Yamamoto, Kunihisa Yamaguchi, Chisato Tonoiso, Akiko Kubo, Takashi Kawanaka, Shunsuke Furutani, Hitoshi Ikushima, Masayuki Takahashi and Hiro-omi Kanayama :
Prostate-specific Antigen Levels Following Brachytherapy Impact Late Biochemical Recurrence in Japanese Patients With Localized Prostate Cancer.,
In Vivo, Vol.37, No.2, 738-746, 2023.- (要約)
- 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.
- (キーワード)
- Male / Humans / Prostate-Specific Antigen / Brachytherapy / Cohort Studies / East Asian People / Prostatic Neoplasms
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.21873/invivo.13136
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36881090
- ● Search Scopus @ Elsevier (PMID): 36881090
- ● Search Scopus @ Elsevier (DOI): 10.21873/invivo.13136
(DOI: 10.21873/invivo.13136, PubMed: 36881090) 尾﨑 啓介, 山口 邦久, 多田 亜沙香, 布川 朋也, 佐々木 雄太郎, 楠原 義人, 山本 恭代, 林 秀樹, 高橋 正幸, 鶴尾 吉宏, 橋本 寛文, 金山 博臣 :
未固定凍結遺体を用いた心停止下献腎摘出教育の試み,
日本臨床腎移植学会雑誌, Vol.10, No.2, 259-261, 2022年.- (文献検索サイトへのリンク)
- ● CiNii @ 国立情報学研究所 (CRID): 1520576215060551680
(CiNii: 1520576215060551680) Keito Shiozaki, Kazuyoshi Izumi, Yutaro Sasaki, Yoshito Kusuhara, Tomoya Fukawa, Yasuyo Yamamoto, Kunihisa Yamaguchi, Hirofumi Izaki, Masayuki Takahashi, Yasuo Kawanishi and Hiroomi Kanayama :
Comparison of robot-assisted partial nephrectomy with soft coagulation and double-layer technique for complex and non-complex tumors.,
International Journal of Urology, Vol.30, No.3, 281-288, 2022.- (要約)
- Single-layer suturing with soft coagulation achieves renal function and perioperative outcomes comparable to those of double-layer suturing regardless of complexity.
- (キーワード)
- Humans / Robotics / Retrospective Studies / Nephrectomy / Kidney / Kidney Neoplasms / Robotic Surgical Procedures / Treatment Outcome
- (徳島大学機関リポジトリ)
- ● Metadata: 118156
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1111/iju.15112
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36448456
- ● Search Scopus @ Elsevier (PMID): 36448456
- ● Search Scopus @ Elsevier (DOI): 10.1111/iju.15112
(徳島大学機関リポジトリ: 118156, DOI: 10.1111/iju.15112, PubMed: 36448456) Fumiya Kadoriku, Yutaro Sasaki, Kyotaro Fukuta, Yuichiro Atagi, Keito Shiozaki, Kei Daizumoto, Ryotaro Tomida, Yoshiteru Ueno, Megumi Tsuda, Yoshito Kusuhara, Tomoya Fukawa, Yutaka Yanagihara, Kunihisa Yamaguchi, Yasuyo Yamamoto, Hirofumi Izaki, Masayuki Takahashi, Sadamu Yamashi, Masaharu Kan and Hiroomi Kanayama :
A propensity score matching study on robot-assisted radical cystectomy for older patients: comparison of intracorporeal ileal conduit and cutaneous ureterostomy.,
BMC Urology, Vol.22, No.1, 2022.- (要約)
- 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.
- (キーワード)
- Aged / Humans / Cystectomy / Postoperative Complications / Propensity Score / Retrospective Studies / Robotic Surgical Procedures / ロボティクス (robotics) / Treatment Outcome / Ureterostomy / Urinary Bladder Neoplasms / Urinary Diversion
- (徳島大学機関リポジトリ)
- ● Metadata: 118559
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1186/s12894-022-01123-3
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36344965
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85141380657
(徳島大学機関リポジトリ: 118559, DOI: 10.1186/s12894-022-01123-3, PubMed: 36344965, Elsevier: Scopus) Yutaro Sasaki, Masayuki Takahashi, Mitsuki Nishiyama, Saki Kobayashi, Keito Shiozaki and Hiroomi Kanayama :
A case of laparoscopic adhesiotomy for urodynia caused by bladder wall adhesion to the anterior abdominal wall after vesicoscopic ureteral reimplantation for vesicoureteral reflux.,
Urology Case Reports, Vol.45, 102216, 2022.- (要約)
- 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.
- (徳島大学機関リポジトリ)
- ● Metadata: 119493
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1016/j.eucr.2022.102216
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36160066
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85139230936
(徳島大学機関リポジトリ: 119493, DOI: 10.1016/j.eucr.2022.102216, PubMed: 36160066, Elsevier: Scopus) K. Ozaki, Takashi Kawanaka, Tomoya Fukawa, Kei Daizumoto, Yutaro Sasaki, Megumi Tsuda, Yoshito Kusuhara, Yasuyo Yamamoto, Kunihisa Yamaguchi, Masayuki Takahashi and Hiro-omi Kanayama :
Appropriate management reduces radiation exposure in daily urological practice,
International Journal of Urology, 2022.- (要約)
- 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.
- (徳島大学機関リポジトリ)
- ● Metadata: 118219
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1111/iju.14971
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 35851694
- ● Search Scopus @ Elsevier (PMID): 35851694
- ● Search Scopus @ Elsevier (DOI): 10.1111/iju.14971
(徳島大学機関リポジトリ: 118219, DOI: 10.1111/iju.14971, PubMed: 35851694) Yutaro Sasaki, Kei Daizumoto, Megumi Tsuda, Yoshito Kusuhara, Tomoya Fukawa, Kunihisa Yamaguchi, Yasuyo Yamamoto and Hiro-omi Kanayama :
Efficacy of the Mercedes-Benz closure technique for vaginal reconstruction in female robot-assisted radical cystectomy,
Asian Journal of Endoscopic Surgery, Vol.16, No.1, 23-27, 2022.- (要約)
- 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.
- (キーワード)
- Humans / 女性 (female) / Cystectomy / ロボティクス (robotics) / Urinary Bladder Neoplasms / Vagina / Lymph Node Excision / Treatment Outcome / Robotic Surgical Procedures
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1111/ases.13109
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 35842843
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85145491982
(DOI: 10.1111/ases.13109, PubMed: 35842843, Elsevier: Scopus) 深谷 友祐, 大豆本 圭, 角陸 文哉, 山本 拓, 佐々木 雄太郎, 尾﨑 啓介, 上野 恵輝, 津田 恵, 楠原 義人, 布川 朋也, 山本 恭代, 山口 邦久, 高橋 正幸, 金山 博臣, 仁木 真理子, 上原 久典 :
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,
泌尿器科紀要, Vol.68, No.4, 107-111, 2022年.- (要約)
- 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.
- (キーワード)
- Papillary renal cell carcinoma / Ipilimumab and nivolumab / 494.9
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.14989/actauroljap_68_4_107
- (文献検索サイトへのリンク)
- ● CiNii @ 国立情報学研究所 (CRID): 1390573715168780160
- ● Search Scopus @ Elsevier (DOI): 10.14989/actauroljap_68_4_107
(DOI: 10.14989/actauroljap_68_4_107, CiNii: 1390573715168780160) Yutaro Sasaki, Masayuki Takahashi, Kei Daizumoto, Megumi Tsuda, Yoshito Kusuhara, Tomoya Fukawa, Yasuyo Yamamoto, Kunihisa Yamaguchi and Hiro-omi Kanayama :
The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men,
Journal of Robotic Surgery, Vol.16, No.2, 437-444, 2022.- (要約)
- 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.
- (キーワード)
- Cystectomy / Humans / Male / Robotic Surgical Procedures / Robotics / Surgeons / Treatment Outcome / Urinary Bladder Neoplasms / Urinary Diversion
- (徳島大学機関リポジトリ)
- ● Metadata: 116363
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.1007/s11701-021-01256-x
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 34081290
- ● Search Scopus @ Elsevier (PMID): 34081290
- ● Search Scopus @ Elsevier (DOI): 10.1007/s11701-021-01256-x
(徳島大学機関リポジトリ: 116363, DOI: 10.1007/s11701-021-01256-x, PubMed: 34081290) Keito Shiozaki, Yasuo Kawanishi, Yutaro Sasaki, Kei Daizumoto, Megumi Tsuda, Kazuyoshi Izumi, Yoshito Kusuhara, Tomoya Fukawa, Yasuyo Yamamoto, Kunihisa Yamaguchi, Masayuki Takahashi and Hiroomi Kanayama :
Clinical application of virtual imaging guided Robot-assisted partial nephrectomy.,
The Journal of Medical Investigation : JMI, Vol.69, No.3.4, 237-243, 2022.- (要約)
- 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.
- (キーワード)
- Humans / Kidney Neoplasms / Nephrectomy / Retrospective Studies / Robotic Surgical Procedures / Robotics / Treatment Outcome
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.2152/jmi.69.237
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36244775
- ● CiNii @ 国立情報学研究所 (CRID): 1390293788341771136
- ● Search Scopus @ Elsevier (PMID): 36244775
- ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.69.237
(DOI: 10.2152/jmi.69.237, PubMed: 36244775, CiNii: 1390293788341771136) 山口 邦久, 佐々木 雄太郎, 布川 朋也, 高橋 正幸, 金山 博臣 :
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,
日本臨床腎移植学会雑誌, Vol.1, No.19, 118-121, 2021年.- (キーワード)
- 腎移植 / リンパ漏 / リンパ管造影 / ジン イショク / リンパロウ / リンパカンゾウエイ
- (文献検索サイトへのリンク)
- ● CiNii @ 国立情報学研究所 (CRID): 1523388081028360448
(CiNii: 1523388081028360448) 佐々木 雄太郎, 安宅 真利花, 多田 航生, 中西 亮太, 橋本 啓佑, 吉岡 拓哉, 大豆本 圭, 尾崎 啓介, 上野 恵輝, 津田 恵, 楠原 義人, 布川 朋也, 山本 恭代, 山口 邦久, 高橋 正幸, 金山 博臣, 柏原 秀也, 徳永 卓哉 :
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,
泌尿器科紀要, Vol.68, No.5, 155-159, 2021年.- (要約)
- 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.
- (キーワード)
- Robot-assisted total pelvic exenteration / Intracorporeal urinary diversion / Intracorporeal ileal conduit
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.14989/actauroljap_68_5_155
- (文献検索サイトへのリンク)
- ● CiNii @ 国立情報学研究所 (CRID): 1390855656035011840
- ● Search Scopus @ Elsevier (DOI): 10.14989/actauroljap_68_5_155
(DOI: 10.14989/actauroljap_68_5_155, CiNii: 1390855656035011840) 佐々木 雄太郎, 角陸 文哉, 深谷 友祐, 山本 拓, 大豆本 圭, 尾崎 啓介, 上野 恵輝, 津田 恵, 楠原 義人, 布川 朋也, 山本 恭代, 山口 邦久, 高橋 正幸, 金山 博臣 :
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,
泌尿器科紀要, Vol.67, No.4, 163-166, 2021年.- (要約)
- 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.
- (キーワード)
- Locally advanced prostate cancer / Bladder Invasion / Robot-assisted radical cystoprostatectomy
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.14989/ActaUrolJap_67_4_163
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 34107613
- ● Summary page in Scopus @ Elsevier: 2-s2.0-85108011497
(DOI: 10.14989/ActaUrolJap_67_4_163, PubMed: 34107613, Elsevier: Scopus) Yutaro Sasaki, Masayuki Takahashi, Keisuke Ozaki, Kei Daizumoto, Yoshiteru Ueno, Megumi Tsuda, Yoshito Kusuhara, Tomoya Fukawa, Yasuyo Yamamoto, Kunihisa Yamaguchi and Hiro-omi Kanayama :
Efficacy of the direct grasping technique using pean forceps under fluoroscopy to replace ureteral stents in women,
The Journal of Medical Investigation : JMI, Vol.3.4, No.68, 326-329, 2021.- (要約)
- 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.
- (キーワード)
- 女性 (female) / Fluoroscopy / Humans / Stents / Surgical Instruments / Ureter / Ureteral Obstruction
- (徳島大学機関リポジトリ)
- ● Metadata: 116511
- (出版サイトへのリンク)
- ● Publication site (DOI): 10.2152/jmi.68.326
- (文献検索サイトへのリンク)
- ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 34759153
- ● Search Scopus @ Elsevier (PMID): 34759153
- ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.68.326
(徳島大学機関リポジトリ: 116511, DOI: 10.2152/jmi.68.326, PubMed: 34759153) - MISC
- 小林 早紀, 西山 美月, 佐々木 雄太郎, 高橋 正幸, 古川 順也 :
小児期に加療された褐色細胞腫の妊娠時に再発した1例,
日本小児泌尿器科学会雑誌, Vol.33, No.2, 285, 2024年. 西山 美月, 佐々木 雄太郎, 大豆本 圭, 小林 早紀, 上野 恵輝, 冨田 諒太郎, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 高橋 正幸, 古川 順也, 塩崎 啓登, 宇都宮 聖也, 瀬戸 公介, 中西 良一, 井崎 博文, 福田 喬太郎 :
根治的膀胱全摘除術におけるリンパ節郭清 ロボット支援手術と開腹手術の2施設間比較研究,
西日本泌尿器科, Vol.86, No.2, 211-212, 2024年. 佐々木 雄太郎, 山口 邦久, 西山 美月, 小林 早紀, 大豆本 圭, 冨田 諒太郎, 上野 恵輝, 楠原 義人, 布川 朋也, 山本 恭代, 高橋 正幸, 古川 順也 :
多発性嚢胞腎患者に対する腎移植についての検討,
日本透析医学会雑誌, Vol.57, No.Suppl.1, 741, 2024年. 佐々木 雄太郎, 山本 恭代, 西 正暁, 西山 美月, 小林 早紀, 大豆本 圭, 上野 恵輝, 冨田 諒太郎, 柏原 秀也, 徳永 卓哉, 楠原 義人, 布川 朋也, 山口 邦久, 高橋 正幸, 古川 順也 :
RARC後に発生した小腸脱出を伴う前方小腸瘤に対して腹腔鏡補助下瘻孔閉鎖術を行った1例,
日本ロボット外科学会学術集会プログラム・抄録集, Vol.16th, 2024年. 塩崎 啓登, 布川 朋也, 角陸 文哉, 橋本 啓祐, 喜多 秀仁, 大豆本 圭, 佐々木 雄太郎, 冨田 諒太郎, 泉 和良, 楠原 義人, 二宮 郁, 中西 良一, 山本 恭代, 山口 邦久, 井崎 博文, 奈路田 拓史, 岡本 賢二郎, 山中 正人, 高橋 正幸 :
高難度症例に対するロボット支援腎部分切除術は腎実質縫合の有無で術後成績に影響を与えるか,
日本ロボット外科学会学術集会プログラム・抄録集, Vol.16th, 2024年. 佐々木 雄太郎, 野崎 修平, 原田 怜, 西山 美月, 小林 早紀, 大豆本 圭, 上野 恵輝, 冨田 諒太郎, 楠原 義人, 横田 成司, 布川 朋也, 山口 邦久, 山口 邦久, 山本 恭代, 高橋 正幸, 神田 和哉, 金山 博臣, 古川 順也 :
トロカー位置最適化と標本摘出に主眼をおいたロボット支援腎尿管摘除術,
日本ロボット外科学会学術集会プログラム・抄録集, Vol.16th, 2024年. 佐々木 雄太郎, 冨田 諒太郎, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 高橋 正幸, 金山 博臣 :
da Vinci vs hinotori vs HUGO-泌尿器科領域のロボット支援手術におけるロボット別の利点・注意点- hinotoriによるRARP ドッキングフリーデザインは術後疼痛の軽減に寄与しうる,
日本内視鏡外科学会雑誌, Vol.28, No.7, 832, 2023年. 佐々木 雄太郎, 冨田 諒太郎, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 高橋 正幸, 金山 博臣 :
内視鏡外科手術教育は何処へ行く-ロボット支援手術with/without従来型腹腔鏡手術教育- ロボット支援手術時代においても，腹腔鏡手術の教育・経験の重要性は揺るがない,
日本内視鏡外科学会雑誌, Vol.28, No.7, 62, 2023年. 佐々木 雄太郎, 楠原 義人, 布川 朋也, 高橋 正幸, 金山 博臣 :
手術の坂と雲∼新時代へ進化∼ hinotoriにおけるロボット支援手術,
西日本泌尿器科学会総会抄録集, Vol.75, 105, 2023年. 塩﨑 啓登, 堀 克仁, 佐々木 雄太郎, 大豆本 圭, 布川 朋也, 中西 良一, 山口 邦久, 山本 恭代, 山下 一太, 冨田 江一, 井崎 博文, 高橋 正幸 :
未固定新鮮凍結遺体を用いたECIRSでの職業被曝低減についての検討,
日本尿路結石症学会学術集会プログラム・抄録集, 80, 2023年. 高橋 正幸, 佐々木 雄太郎, 西山 美月, 小林 早紀, 塩崎 啓登 :
膀胱尿管逆流症に対する気膀胱下Cohen法の臨床的検討,
日本小児泌尿器科学会雑誌, Vol.32, No.2, 291, 2023年. 佐々木 雄太郎, 堀 克仁, 角陸 文哉, 大豆本 圭, 上野 恵輝, 冨田 諒太郎, 津田 恵, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 高橋 正幸, 金山 博臣 :
多診療科で行うロボット支援手術 後方骨盤内臓全摘除術の1例,
西日本泌尿器科, Vol.85, No.2, 139, 2023年. 堀 克仁, 角陸 文哉, 佐々木 雄太郎, 大豆本 圭, 冨田 諒太郎, 上野 恵輝, 津田 恵, 楠原 義人, 布川 朋也, 山本 恭代, 山口 邦久, 高橋 正幸, 金山 博臣, 塩崎 啓登, 井崎 博文, 山下 一太, 鶴尾 吉宏 :
未固定遺体を用いたECIRSにおける職業被曝軽減についての検討 修正バルディビア体位と腹臥位の比較,
西日本泌尿器科, Vol.85, No.2, 157-158, 2023年. 堀 克仁, 佐々木 雄太郎, 角陸 文哉, 大豆本 圭, 冨田 諒太郎, 上野 恵輝, 津田 恵, 楠原 義人, 布川 朋也, 山本 恭代, 山口 邦久, 高橋 正幸, 金山 博臣, 塩崎 啓登 :
当院での未固定遺体を用いた内シャント造設術トレーニングの試み 生体との違いについて,
西日本泌尿器科, Vol.85, No.2, 135, 2023年. 角陸 文哉, 佐々木 雄太郎, 大豆本 圭, 堀 克仁, 上野 恵輝, 冨田 諒太郎, 津田 恵, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 高橋 正幸, 村尾 和俊, 徳永 卓哉, 西村 正人, 金山 博臣 :
骨盤内臓全摘除術,回腸導管造設術後に回腸導管・小腸瘻を生じた1例,
西日本泌尿器科, Vol.85, No.2, 161, 2023年. 佐々木 雄太郎, 西山 美月, 小林 早紀, 塩崎 啓登, 高橋 正幸, 島田 憲次 :
片側巨大尿管症，対側MCDK，膀胱低形成の1例,
日本小児泌尿器科学会雑誌, Vol.32, No.2, 334, 2023年. 高橋 正幸, 佐々木 雄太郎, 西山 美月, 小林 早紀 :
『手術のPitfalls and Tips，共有しませんか?』停留精巣・遊走精巣固定術で注意している点と工夫,
日本小児泌尿器科学会雑誌, Vol.32, No.2, 239, 2023年. 塩崎 啓登, 佐々木 雄太郎, 堀 克仁, 角陸 文哉, 小林 早紀, 瀬戸 公介, 布川 朋也, 中西 良一, 山口 邦久, 山本 恭代, 井崎 博文, 高橋 正幸, 鶴尾 吉宏, 金山 博臣 :
未固定凍結遺体を用いた内シャント造設術トレーニングの試み,
日本透析医学会雑誌, Vol.56, No.Suppl.1, 661, 2023年. Yutaro Sasaki :
Effect of anterior wall reconstruction in RARP on postoperative urinary incontinence,
日本泌尿器科学会総会, Vol.110, PP41-07, 2023. Yutaro Sasaki :
Comparison of Bricker and Wallace Techniques in Robot-assisted intracorporeal ileal conduit,
日本泌尿器科学会総会, Vol.110, OP43-04, 2023. 塩崎 啓登, 佐々木 雄太郎, 布川 朋也, 山口 邦久, 山本 恭代, 井崎 博文, 高橋 正幸, 金山 博臣, 鶴尾 吉宏 :
未固定凍結遺体を使用したECIRSのトレーニングモデルの確立について,
日本尿路結石症学会誌, Vol.21, No.2, 74, 2023年. 山口 邦久, 佐々木 雄太郎, 布川 朋也, 高橋 正幸 :
腎移植後のリンパ漏にリンパ管造成が効果的であった3例,
日本臨床腎移植学会雑誌, Vol.9, No.1, 118-121, 2021年.
- 総説・解説
- 研究者総覧に該当データはありませんでした。
- 講演・発表
- Kei Daizumoto, Naoka Osafune, Kohei Torii, Ryota Nishimura, Hisanori Uehara, Mitsuki Nishiyama, Saki Kobayashi, Yutaro Sasaki, Ryotaro Tomida, Yoshito Kusuhara, Tomoya Fukawa, Kunihisa Yamaguchi and Masayuki Takahashi :
Deep learning-based depth prediction system for upper tract urothelial carcinoma,
the 111th Annual Meeting of the Japanese Urological Association (JUA), PDA-36-05, Yokohama, Apr. 2024.Kei Daizumoto, Naoka Osafune, Kohei Torii, Ryota Nishimura, Hisanori Uehara, Mitsuki Nishiyama, Saki Kobayashi, Yutaro Sasaki, Ryotaro Tomida, Yoshiteru Ueno, Yoshito Kusuhara, Tomoya Fukawa, Kunihisa Yamaguchi, Yasuyo Yamamoto, Masayuki Takahashi and Junya Furukawa :- (キーワード)
- 医用画像 (medical image) / 深層学習 (deep learning)
Development of pT classification prediction system in UTUC using deep-learning,
39th Annual European Association of Urology Congress, A0130, Paris, Apr. 2024. 山本 恭代, 佐々木 雄太郎, 津田 恵, 大豆本 圭, 楠原 義人, 古川 順也, 山口 邦久, 高橋 正幸 :
女性膀胱癌患者におけるRARC後のPOP発症を 予防する腟再建の工夫,
日本排尿機能学会誌, 山本 恭代, 布川 朋也, 津田 恵, 佐々木 雄太郎, 高橋 正幸, 金山 博臣, 大豆本 圭, 楠原 義人, 山口 邦久 :
RASCにおけるPSS(Patient Side Surgeon)の役割,
日本女性骨盤底医学会, 塩﨑 啓登, 堀 克仁, 佐々木 雄太郎, 大豆本 圭, 山下 一太, 布川 朋也, 中西 良一, 山本 恭代, 山口 邦久, 井崎 博文, 高橋 正幸, 冨田 江一 :
未固定新鮮凍結遺体を用いたECIRSでの職業被曝低減についての検討,
第33回日本尿路結石学会, 2024年8月. 佐々木 雄太郎, 冨田 諒太郎, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 高橋 正幸, 金山 博臣, 冨田 江一 :
ロボット支援手術時代においても，腹腔鏡手術の教育・経験の重要性は揺るがない,
第36回日本内視鏡外科学会総会, 2023年12月. 塩﨑 啓登, 堀 克仁, 佐々木 雄太郎, 大豆本 圭, 布川 朋也, 中西 良一, 山本 恭代, 山口 邦久, 井崎 博文, 高橋 正幸, 金山 博臣, 冨田 江一 :
Cadaver surgical trainingにおける内シャント造設の試み,
第53回徳島透析療法研究会, 2023年12月. 佐々木 雄太郎, 金山 博臣, 冨田 江一 :
未固定遺体を用いた腎瘻トラクト作成の先進的技術開発及び教育と研究，未固定遺体を用いたTUL(経尿道的尿路結石砕石術)の先進的技術開発及び教育と研究，未固定遺体を用いた腎・副腎手術の先進的技術開発及び教育と研究，未固定遺体を用いた腹腔鏡下根治的膀胱全摘除術および尿路変更手術治療の教育と研究,
第37回日本泌尿器内視鏡・ロボティクス学会総会, 2023年11月. 塩﨑 啓登, 堀 克仁, 佐々木 雄太郎, 布川 朋也, 中西 良一, 山下 太一, 冨田 江一, 伊﨑 博文, 高橋 正幸 :
未固定新鮮凍結遺体を用いたECIRSでの職業被曝低減についての検討,
第37回日本泌尿器内視鏡・ロボティクス学会総会, 2023年11月. 高橋 正幸, 佐々木 雄太郎, 西山 美月, 小林 早紀 :
「ワークショップ5: 手術のPitfalls and Tips，共有しませんか?」停留精巣・遊走精巣固定術,
第32回日本小児泌尿器科学会総会・学術集会, 2023年7月. 高橋 正幸, 佐々木 雄太郎, 西山 美月, 小林 早紀, 塩崎 啓登 :
膀胱尿管逆流症に対する気膀胱下Cohen法の臨床的検討,
第32回日本小児泌尿器科学会総会・学術集会, 2023年7月. 山本 恭代, 津田 恵, 大豆本 圭, 佐々木 雄太郎, 楠原 義人, 布川 朋也, 山口 邦久, 高橋 正幸, 金山 博臣 :
80歳以上の間質性膀胱炎患者に対するDMSO膀胱内注入療法,
日本老年泌尿器科学会誌, 2023年5月. 高橋 正幸, 佐々木 雄太郎, 金山 博臣 :
Key to the success of transvesical laparoscopic cross-trigonal ureteral reimplantation for vesicoureteral reflux,
第110回日本泌尿器科学会総会, 2023年4月. 山本 恭代, 布川 朋也, 津田 恵, 大豆本 圭, 佐々木 雄太郎, 楠原 義人, 山口 邦久, 高橋 正幸, 金山 博臣 :
当院におけるロボット支援下仙骨腟固定術の現況,
骨盤臓器脱手術手技研究会, 2023年3月. 石原 玲央, 大豆本 圭, 堀 克仁, 角陸 文哉, 佐々木 雄太郎, 冨田 諒太郎, 上野 恵輝, 津田 恵, 楠原 義人, 布川 朋也, 山本 恭代, 山口 邦久, 高橋 正幸, 金山 博臣, 西村 良太 :
Deep-learningを用いた尿管癌についての検討,
第266会徳島医学会学術集会(令和4年度冬期), No.A-25, 266, 2023年2月.佐々木 雄太郎, 小林 早紀, 塩崎 啓登, 高橋 正幸, 須藤 泰史, 金山 博臣 :- (要約)
- 【目的】近年，画像診断技術が進化しているが，尿管癌描出や深達度についての診断精度は低い．特に尿管癌深達度診断技術は，薬物 療法前に重要であり早期の開発が求められている．そこで今回我々はDeep Learning(深層学習)によるAI(人工知能)による画像学 習を利用してCT画像から尿管癌の深達度を予測するシステムの構築を行うためのパイロットスタディを行ったので報告する． 【方法】2009年から2020年に徳島大学病院で尿管癌に対して腎尿管全摘除術を施行された157例のうち下部尿管癌30例のCT画像をAI に学習させ画像分類を行い，学習の適合率を評価した．摘出標本のマクロ画像での癌の位置とCTの位置を照らし合わせて，癌領域を 決定し，各CTスライスを「癌を含む」と「癌を含まない」に分類した． 【結果】AIによるCT画像の下部尿管癌の判定正解率は，学習回数が100回の時点での学習済みデータを用いてテストした場合は 99.94%，未学習のデータでテストした場合は99.15%となった．今回の学習では過学習は認められなかった． 【結論】AIによるCT画像の下部尿管癌の評価を行った．今回の設定でCT画像から癌の有無の判定の学習が可能であると考えられた． 今後はAIによってCT画像から尿管癌の場所の特定や深達度予測の評価を行い，実臨床で応用可能な評価モデルの確立を目指す．
小児精巣腫瘍の1例,
日本小児泌尿器科学会総会・学術集会, 2022年7月. 山本 恭代, 津田 恵, 大豆本 圭, 佐々木 雄太郎, 上野 恵輝, 楠原 義人, 布川 朋也, 山口 邦久, 高橋 正幸, 金山 博臣 :
女性神経因性膀胱患者に対する ボツリヌス毒素膀胱壁内注入療法の経験,
日本女性骨盤底医学会, 2022年7月.堀 克仁, 佐々木 雄太郎, 角陸 文哉, 塩崎 啓登, 大豆本 圭, 冨田 諒太郎, 上野 恵輝, 津田 恵, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 高橋 正幸, 金山 博臣 :- (キーワード)
- 女性 (female) / 神経因性膀胱 / ボツリヌス毒素膀胱壁内注入療法
当院での未固定遺体を用いた内シャント造設術トレーニングの試み ∼生体との違いについて∼,
日本泌尿器科学会四国地方会, 2022年7月. 佐々木 雄太郎, 堀 克仁, 角陸 文哉, 大豆本 圭, 上野 恵輝, 冨田 諒太郎, 津田 恵, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 高橋 正幸, 金山 博臣 :
多診療科で行うロボット支援手術 ∼後方骨盤内臓全摘除術の1例∼,
日本泌尿器科学会四国地方会, 2022年7月. 佐々木 雄太郎, 橋本 啓佑, 塩﨑 啓登, 楠原 義人, 布川 朋也, 山口 邦久, 山本 恭代, 井崎 博文, 高橋 正幸, 金山 博臣 :
女性のRARCにおける膣再建の新たな手法 ∼Benz closure technique∼,
泌尿器科再建再生研究会, 2022年6月. 橋本 啓佑, 佐々木 雄太郎, 安宅 真利花, 多田 航生, 中西 亮太, 吉岡 拓哉, 大豆本 圭, 尾崎 啓介, 上野 恵輝, 津田 恵, 楠原 義人, 布川 朋也, 山本 恭代, 山口 邦久, 高橋 正幸, 金山 博臣 :
ロボット支援体腔内回腸導管造設術においてストマ造設を円滑に行うための工夫,
日本ロボット外科学会学術集会, 2022年2月. 佐々木 雄太郎, 福田 喬太郎, 大豆本 圭, 塩崎 啓登, 楠原 義人, 布川 朋也, 中西 良一, 山本 恭代, 山口 邦久, 井崎 博文, 高橋 正幸, 神田 和哉, 金山 博臣 :
高齢患者(≧75歳)のロボット支援膀胱全摘除術における体腔内回腸導管造設術と尿管皮膚瘻造設術の比較,
日本泌尿器科学会総会, 2021年12月. 佐々木 雄太郎, 井崎 博文, 高橋 正幸, 神田 和哉, 金山 博臣 :
ICUDによる回腸導管造設術のピットフォール:回避するためにはPatient side surgeonの役割が重要である,
日本泌尿器科学会総会, 2021年12月. 山本 恭代, 津田 恵, 大豆本 圭, 佐々木 雄太郎, 楠原 義人, 布川 朋也, 山口 邦久, 高橋 正幸, 金山 博臣 :
当院における外来排尿自立指導の臨床的検討,
日本泌尿器科學會雜誌, 2021年12月. 佐々木 雄太郎, 大豆本 圭, 塩崎 啓登, 布川 朋也, 山本 恭代, 山口 邦久, 井崎 博文, 高橋 正幸, 神田 和哉, 金山 博臣 :
「アシステントガイド」の開発 体腔内回腸導管造設時の尿管ステント留置を円滑に,
日本泌尿器内視鏡学会総会, 2021年11月. 山本 恭代, 津田 恵, 大豆本 圭, 佐々木 雄太郎, 楠原 義人, 布川 朋也, 山口 邦久, 高橋 正幸, 金山 博臣 :
憩室口が遠位に存在する 尿道憩室摘除術における工夫,
西日本泌尿器科, Vol.83, 2021年11月. 山本 恭代, 大豆本 圭, 佐々木 雄太郎, 津田 恵, 楠原 義人, 布川 朋也, 山口 邦久, 高橋 正幸, 金山 博臣 :
夜間頻尿に対する デスモプレシンの使用経験,
日本排尿機能学会誌, Vol.32, No.1, 2021年9月. 山本 恭代, 津田 恵, 大豆本 圭, 佐々木 雄太郎, 楠原 義人, 布川 朋也, 山口 邦久, 高橋 正幸, 金山 博臣 :
骨盤臓器脱に対し膣閉鎖術を行った症例の検討,
日本女性骨盤底医学会, 2021年7月. 佐々木 雄太郎, 小林 早紀, 塩崎 啓登, 高橋 正幸, 須藤 泰史, 金山 博臣 :
会陰部異所性精巣の2例,
日本小児泌尿器科学会総会・学術集会, 2021年7月.
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2024年11月22日更新
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Ｊグローバル
- Jグローバル最終確認日
- 2024/11/16 01:23
- 氏名（漢字）
- 佐々木 雄太郎
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- ササキ ユウタロウ
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- Yutaro Sasaki
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- 徳島大学大学院医歯薬学研究部
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- researchmap最終確認日
- 2024/11/17 03:48
- 氏名（漢字）
- 佐々木 雄太郎
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