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  1. 医学部
  1. 医学部
  2. 学術雑誌掲載論文  (医学部)

Reevaluating the therapeutic role of extended lymph node dissection in the era of robot-assisted radical prostatectomy

http://hdl.handle.net/10458/0002001656
http://hdl.handle.net/10458/0002001656
f68f0e2d-7f16-46e1-b768-bef5088cd05c
名前 / ファイル ライセンス アクション
s41598-025-00926-2.pdf Fulltext (6.7 MB)
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アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2025-08-27
タイトル
タイトル Reevaluating the therapeutic role of extended lymph node dissection in the era of robot-assisted radical prostatectomy
言語 en
言語
言語 eng
資源タイプ
資源タイプ journal article
アクセス権
アクセス権 open access
著者 澤田, 篤郎

× 澤田, 篤郎

WEKO 35206
e-Rad_Researcher 10784796

ja 澤田, 篤郎
宮崎大学

ja-Kana サワダ, アツロウ

en Sawada, Atsuro
University of Miyazaki

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西本, 紘嗣郎

× 西本, 紘嗣郎

WEKO 35349
e-Rad_Researcher 00365363

ja 西本, 紘嗣郎
宮崎大学

ja-Kana ニシモト, コウシロウ

en Nishimoto, Koshiro
University of Miyazaki

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Akamatsu, Shusuke

× Akamatsu, Shusuke

en Akamatsu, Shusuke
Nagoya University

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Kubota, Masashi

× Kubota, Masashi

en Kubota, Masashi
Kyoto University

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Sumiyoshi, Takayuki

× Sumiyoshi, Takayuki

en Sumiyoshi, Takayuki
Kyoto University

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Saito, Ryoichi

× Saito, Ryoichi

en Saito, Ryoichi
Kyoto University

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Kurahashi, Ryoma

× Kurahashi, Ryoma

en Kurahashi, Ryoma
Kumamoto University

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Sekine, Yuya

× Sekine, Yuya

en Sekine, Yuya
Akita University

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Negoro, Hiromitsu

× Negoro, Hiromitsu

en Negoro, Hiromitsu
University of Tsukuba

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Shiraishi, Yusuke

× Shiraishi, Yusuke

en Shiraishi, Yusuke
Shizuoka General Hospital

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Iguchi, Ryo

× Iguchi, Ryo

en Iguchi, Ryo
Kurashiki Central Hospital

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Nakashima, Masakazu

× Nakashima, Masakazu

en Nakashima, Masakazu
Japanese Red Cross Wakayama Medical Center

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Kokura, Kazuki

× Kokura, Kazuki

en Kokura, Kazuki
Toyooka Hospital

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Iwamura, Hiroshi

× Iwamura, Hiroshi

en Iwamura, Hiroshi
Himeji Medical Center

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Kohei, Naoki

× Kohei, Naoki

en Kohei, Naoki
Numazu City Hospital

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Shimatani, Kimihiro

× Shimatani, Kimihiro

en Shimatani, Kimihiro
Hyogo Medical University

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賀本, 敏行

× 賀本, 敏行

WEKO 9783
e-Rad_Researcher 00281098

ja 賀本, 敏行
宮崎大学

ja-Kana カモト, トシユキ

en Kamoto, Toshiyuki
University of Miyazaki

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Kobayashi, Takashi

× Kobayashi, Takashi

en Kobayashi, Takashi
Kyoto University

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Goto, Takayuki

× Goto, Takayuki

en Goto, Takayuki
Kyoto University

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Daimonji Clinical Application Database (Dai-CAD) study group

× Daimonji Clinical Application Database (Dai-CAD) study group

en Daimonji Clinical Application Database (Dai-CAD) study group(Organizational)

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抄録
内容記述タイプ Abstract
内容記述 To elucidate the real-world oncological outcomes of robot-assisted radical prostatectomy (RARP) and effectiveness of extended pelvic lymph node dissection (ext-LDN) in the RARP era. Data from 8 194 patients who underwent RARP, including age, clinical T stage, prostate-specific antigen (PSA) before prostate cancer diagnosis (initial PSA), follow-up years, biopsied specimen grade group (GG), and whether they underwent lymph node dissection or not and presurgical androgen deprivation therapy, were recorded. Oncological outcomes among three risk groups (low, intermediate, and poor risks) were analyzed using Kaplan–Meier curves. In intermediate and poor risk cohorts, PSA failure-free, clinical recurrence-free, castration-resistant prostate cancer (CRPC)-free survival, and overall survival (OS) were compared between the ext-LDN groups and no or limited lymph node dissection (no-ltd-LND) groups before and after propensity matching for initial PSA, clinical stage, GG, and androgen deprivation therapy. Four survivals (PSA failure-free, clinical recurrence-free, CRPC-free survival, and OS) were noted among the three risk groups that generally reflected the risks. In comparison between ext-LDN and no-ltd-LND groups, propensity matching matched four factors. No significant difference was observed in the four survivals with or without ext-LDN. In the intermediate-risk, high-risk, and locally advanced cohorts (cT3–4), similar analyses were performed as the subanalyses
言語 en
書誌情報 en : Scientific Reports

巻 15, p. 17680, 発行日 2025-05-21
出版者
出版者 Springer Nature
言語 en
ISSN
収録物識別子タイプ EISSN
収録物識別子 20452322
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1038/s41598-025-00926-2
著者版フラグ
出版タイプ VoR
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