{"_buckets": {"deposit": "3b222aff-802f-4f12-b455-c12e9631f79e"}, "_deposit": {"created_by": 24, "id": "15627", "owners": [24], "pid": {"revision_id": 0, "type": "depid", "value": "15627"}, "status": "published"}, "_oai": {"id": "oai:ir.kagoshima-u.ac.jp:00015627", "sets": ["5994", "59"]}, "author_link": ["138187", "138193", "138194", "138200", "138192", "138191", "138203", "138184", "138189", "138202", "138201", "138188", "138196", "138197", "138195", "138190", "138204", "138185", "138186", "138198", "138199"], "item_7_alternative_title_19": {"attribute_name": "タイトルよみ", "attribute_value_mlt": [{"subitem_alternative_title": "チョクチョウガン ニ タイスル ロボット シエンカ シュジュツ ノ アンゼンナ ドウニュウ ト ハツショウレイ ノ ホウコク"}]}, "item_7_biblio_info_5": {"attribute_name": "収録雑誌名", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2020", "bibliographicIssueDateType": "Issued"}, "bibliographicPageEnd": "11", "bibliographicPageStart": "8", "bibliographicVolumeNumber": "72", "bibliographic_titles": [{"bibliographic_title": "鹿児島大学医学雑誌 "}, {"bibliographic_title": "Medical journal of Kagoshima University", "bibliographic_titleLang": "en"}]}]}, "item_7_date_6": {"attribute_name": "作成日", "attribute_value_mlt": [{"subitem_date_issued_datetime": "2020-08"}]}, "item_7_description_4": {"attribute_name": "要約(Abstract)", "attribute_value_mlt": [{"subitem_description": "In January 2016, our hospital performed robotic-assisted surgery with da Vinci Xi for colorectal cancer. After observing robotic surgery at a major institution in Japan, our surgery team, including a nurse, a clinical engineer and anesthesiologists, attended a distributor-led training course and performed simulations to receive the certification required by the distributor. We conducted the first robotic-assisted surgery for colorectal cancer after obtaining the approval from the Nanpuh hospital ethics committee. The first case for a robotic-assisted surgery was a 63-year-old woman with a carcinoma in her rectal Ra. A proctor physician was invited from a major institution in Japan to supervise a robot-assisted lower anterior rectal resection. We performed D3 dissection for the rectal cancer by using the four metal ports for the robot and two for an assistant, six ports in total. A roboticassisted mesorectal dissection was performed. The rectum was dissected laparoscopically using an automatic suture, and a colon-rectal anastomosis was performed using an automatic anastomosis device. Operative time was 5 hours and 10 minutes and the blood loss was 5 mL. The patient was discharged on the sixth postoperative day with no intraoperative or postoperative complications. We report the first case of robot-assisted surgery for rectal cancer, including a review of the literature.", "subitem_description_type": "Other"}, {"subitem_description": "当院は， 2016年 1月に直腸癌手術に対しda Vinci Xiによるロボット支援下手術を導入した．　国内の主要施設の手術見学後，販売会社主導のトレーニングコースを受講し，看護師・臨床工学士・麻酔科医とともにシミュレーション行い，販売会社の定めるcertificationを取得した．院内の倫理委員会の承認後，直腸癌に対する初めてのロボット支援下手術を行った．最初のロボット支援下手術症例は 63歳の女性で直腸Raに癌腫を認めた．国内の主要施設からプロクター医師を招聘しロボット支援下直腸低位前方切除術を施行した．ロボット用の金属ポート4本と助手用のポート2本の6点ポートで，直腸の剥離・受動を行い，D3郭清を行った．ロボット支援下に直腸間膜切離を行い，腹腔鏡下に自動縫合器を用いて直腸を切離し，自動吻合器を用いて結腸-直腸吻合を施行した．手術時間は5時間10分で，出血量は5mLであった．術中・術後合併症なく，術後 6日目に退院となった．直腸癌に対しロボット支援下手術を安全に導入することができたので，文献的考察を含め初症例の報告をする．", "subitem_description_type": "Other"}]}, "item_7_full_name_2": {"attribute_name": "著者よみ", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "138191", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "キタゾノ, マサキ"}]}, {"nameIdentifiers": [{"nameIdentifier": "138192", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "オオヤマ, トモヒロ"}]}, 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