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AB003. Future prospects of urologic robotic surgery in Japan

Robotic surgery has a promising role in increasing the acceptability of urologic surgery. Since the approvement of medical insurance for radical prostatectomy, the number of cases is rapidly increasing, reaching to 12,000 in 2015. In contrast, the number of partial nephrectomy was only 382 in 2015....

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Detalles Bibliográficos
Autor principal: Fujisawa, Masato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565555/
http://dx.doi.org/10.21037/tau.2017.s003
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author Fujisawa, Masato
author_facet Fujisawa, Masato
author_sort Fujisawa, Masato
collection PubMed
description Robotic surgery has a promising role in increasing the acceptability of urologic surgery. Since the approvement of medical insurance for radical prostatectomy, the number of cases is rapidly increasing, reaching to 12,000 in 2015. In contrast, the number of partial nephrectomy was only 382 in 2015. Based on many reports concerning the benefits of robotic partial nephrectomy (RAPN) over conventional laparoscopy in terms of a shorter warm ischemia time, learning curve, renal function, and so on, we performed prospective Japanese Clinical Trial of RAPN in 14 institutes controlled under Advanced Care Medicine B. The achievement rate of warm ischemic time <25 min and negative surgical margin rate were designed as the primary endpoint and compared with those of LPN (Japanese clinical data). According to the results that the achievement rate of the primary endpoint in RAPN was much better than that in LPN and that RAPN, the medical insurance was approved for partial nephrectomy on this April. Since that, the number of case is increasing and around 2,000 cases were already performed. We are trying to get the approvement of insurance for another procedure. However, it is very difficult to find the best primary end point over conventional laparoscopic surgery so far. Additionally, we collaborate with the industry to develop new robotic surgical system. I hope that this system will reduce the cost and make robotic surgery more common in several procedures in Japan.
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spelling pubmed-55655552017-09-01 AB003. Future prospects of urologic robotic surgery in Japan Fujisawa, Masato Transl Androl Urol Plenary Session Robotic surgery has a promising role in increasing the acceptability of urologic surgery. Since the approvement of medical insurance for radical prostatectomy, the number of cases is rapidly increasing, reaching to 12,000 in 2015. In contrast, the number of partial nephrectomy was only 382 in 2015. Based on many reports concerning the benefits of robotic partial nephrectomy (RAPN) over conventional laparoscopy in terms of a shorter warm ischemia time, learning curve, renal function, and so on, we performed prospective Japanese Clinical Trial of RAPN in 14 institutes controlled under Advanced Care Medicine B. The achievement rate of warm ischemic time <25 min and negative surgical margin rate were designed as the primary endpoint and compared with those of LPN (Japanese clinical data). According to the results that the achievement rate of the primary endpoint in RAPN was much better than that in LPN and that RAPN, the medical insurance was approved for partial nephrectomy on this April. Since that, the number of case is increasing and around 2,000 cases were already performed. We are trying to get the approvement of insurance for another procedure. However, it is very difficult to find the best primary end point over conventional laparoscopic surgery so far. Additionally, we collaborate with the industry to develop new robotic surgical system. I hope that this system will reduce the cost and make robotic surgery more common in several procedures in Japan. AME Publishing Company 2017-08 /pmc/articles/PMC5565555/ http://dx.doi.org/10.21037/tau.2017.s003 Text en 2017 Translational Andrology and Urology. All rights reserved.
spellingShingle Plenary Session
Fujisawa, Masato
AB003. Future prospects of urologic robotic surgery in Japan
title AB003. Future prospects of urologic robotic surgery in Japan
title_full AB003. Future prospects of urologic robotic surgery in Japan
title_fullStr AB003. Future prospects of urologic robotic surgery in Japan
title_full_unstemmed AB003. Future prospects of urologic robotic surgery in Japan
title_short AB003. Future prospects of urologic robotic surgery in Japan
title_sort ab003. future prospects of urologic robotic surgery in japan
topic Plenary Session
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565555/
http://dx.doi.org/10.21037/tau.2017.s003
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