臨床泌尿器科61巻6号

2007年05月発行

手術手技 腹腔鏡下手術時代における開放手術・5

腎尿管摘除術

著者： 内田厚¹ 大城吉則¹ 小川由英¹

所属機関： ¹琉球大学医学部附属病院泌尿器科

ページ範囲：P.391 - P.397

文献概要

要旨：腎尿管摘除術の手術手技に関する注意点を，尿路上皮癌の性質，特にリンパ節転移を含む転移形態，尿溢流に伴う問題を踏まえて論じた。同術式においてリンパ節郭清の治療的意義は確立されていないが，手術範囲を熟慮して病巣の完全摘除を目指すべきである。一方，経尿道的に膀胱-尿管を切離して，縮小された術野から尿管を引き抜く方法が試みられている。同法は腎盂癌，上部尿管癌の手術で創を可及的に小さくするのに有用である。

参考文献

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