ログイン
ランキング
お知らせ
ログイン
文献詳細
綜説
文献概要
要旨 2009年11月，手術ロボットである「da VinciTMサージカルシステム」の製造販売が国内で初めて薬事承認された。ダビンチは鉗子類の操作性の自由度が3次元になり，術者はコンソールでの立体視による手術が施行できる。これにより，緻密な組織構築を認識することが可能となり，開腹手術より質の高い低侵襲手術が可能となった。特に，泌尿器科が専門とする後腹膜腔や小骨盤内などの狭小な空間で剝離，縫合する手術では，ダビンチの導入による手術の質の向上は明らかである。前立腺癌全摘除術を筆頭に，腎部分切除術，膀胱全摘除術，ほかにも腎盂形成術や瘻孔根治術などへの応用が見込まれる。今後，本邦での導入施設の増加が期待され，わが国も本格的なロボット手術時代の到来を迎えることとなる。
参考文献
1）Binder J and Kramer W：Robotically-assisted laparoscopic radical prostatectomy. BJU Int 87：408-410, 2001
2）Su LM：Expansion of robotics in urology：the pioneer and the ostrich. Curr Opin Urol 20：55, 2010
3）Badani KK, Kaul S and Menon M：Evolution of robotic radical prostatectomy：assessment after 2766 procedures. Cancer 110：1951-1958, 2007
4）Menon M, Hemal AK and VIP Team：Vattikuti Institute prostatectomy：a technique of robotic radical prostatectomy：experience in more than 1000 cases. J Endourol 18：611-619, 2004
5）Menon M, Shrivastava A, Kaul S, et al：Vattikuti Institute prostatectomy：contemporary technique and analysis of results. Eur Urol 51：648-657, 2007
6）Shikanov SA, Zorn KC, Zagaja GP, et al：Trifecta outcomes after robotic-assisted laparoscopic prostatectomy. Urology 74：619-623, 2009
7）Eastham JA, Scardino PT and Kattan MW：Predicting an optimal outcome after radical prostatectomy：the trifecta nomogra. J Urol 179：2207-2211, 2008
8）Mottrie A, Van Migem P, Fonteyne E, et al：Robot-assisted laparoscopic radicalprostatectomy：oncologic and functionalresults of 184 cases. Eur Urol 52：746-750, 2007
9）Rozet F, Jaffe J, Braud G, et al：A direct comparison of robotic assisted versus pure laparoscopic radical prostatectomy：a single institution experience. J Urol 178：478-482, 2007
10）Borin JF, Skarecky DW, Narula N, et al：Impact of urethral stump length on continence and positive surgical margins in robot-assisted laparoscopic prostatectomy. Urology 70：173-178, 2007
11）Schroeck FR, Sun L, Freedland SJ, et al：Comparison of prostate-specific antigen recurrence-free survival in a contemporary cohort of patients undergoing either radical retropubic or robot-assisted laparoscopic radical prostatectomy. BJU Int 102：28-32, 2008
12）Chan RC, Barocas DA, Chang SS, et al：Effect of a large prostate gland on open and robotically assisted laparoscopic radical prostatectomy. BJU Int 101：1140-1144, 2008
13）Patel VR, Palmer KJ, Coughlin G, et al：Robot-assisted laparoscopic radical prostatectomy：perioperative outcomes of 1500 cases. J Endourol 22：2299-2305, 2008
14）Krambeck AE, DiMarco DS, Rangel LJ, et al：Radical prostatectomy for prostatic adenocarcinoma：a matched comparison of open retropubic and robot-assisted techniques. BJU Int 103：448-453, 2008
15）Murphy DG, Kerger M, Crowe H, et al：Operative details and oncological and functional outcome of robotic-assisted laparoscopic radical prostatectomy：400 cases with a minimum of 12 months follow-up. Eur Urol 55：1358-1367, 2009
16）Rocco B, Matei DV, Melegari S, et al：Robotic vs open prostatectomy in a laparoscopically naive centre：a matched-pair analysis. BJU Int 103：448-455, 2009
17）Joseph JV, Rosenbaum R, Madeb R, et al：Robotic extraperitoneal radical prostatectomy：an alternative approach. J Urol 175：945-950, 2006
18）Patel VR, Thaly R and Shah K：Robotic radical prostatectomy：outcomes of 500 cases. BJU Int 99：1109-1112, 2007
19）Zorn KC, Gofrit ON, Orvieto MA, et al：Robotic-assisted laparoscopic prostatectomy：functional and pathologic outcomes with interfascial nerve preservation. Eur Urol 51：755-762, 2007
20）Tewari A, Jhaveri J, Rao S, et al：Total reconstruction of the vesico-urethral junction. BJU Int 101：871-877, 2008
21）Rocco B, Gregori A, Stener S, et al：Posterior reconstruction of the rhabdosphincter allows a rapid recovery of continence after transperitoneal videolaparoscopic radical prostatectomy. Eur Urol 51：996-1003, 2007
22）Tewari A, Jhaveri J, Rao S, et al：Total reconstruction of the vesico-urethral junction. BJU Int 101：871-877, 2008
23）Tewari A, Rao S, Martinez-Salamanca JL, et al：Cancer control and the preservation of neurovascular tissue：how to meet competing goals during robotic radical prostatectomy. BJU Int 101：1013-1018, 2008
24）van der Poel HG and de Block W：Role of extent of fascial preservation and erectile function after robot-assisted laparoscopic prostatectomy. Urology 73：816-821, 2009
25）Rassweiler J, Seemann O, Schulze M, et al：Laparoscopic versus open radical prostatectomy：a comparative study at a single institution. J Urol 169：1689-1693, 2003
26）Cathelineau X, Rozet F and Vallancien G：Robotic radical prostatectomy：the european experience. Urol Clin North Am 31：693-699, 2004
27）Hu JC, Nelson RA, Wilson TG, et al：Perioperative complications of lap aroscopic and robotic assisted laparoscopic radical prostatectomy. J Urol 175：541-546, 2006
28）Parsons JK and Bennett JL：Outcomes of retropubic, laparoscopic, and robotic-assisted prostatectomy. Urology 72：412-416, 2008
29）Berryhill R, Jhaveri J, Tewari A, et al：Robotic prostatectomy：a review of outcomes compared with laparoscopic and open approaches. Urology 72：15-23, 2008
30）Ficarra V, Novara G, Artibani W, et al：Retropubic, laparoscopic, and robot-assisted radical prostatectomy：a systematic review and cumulative analysis of comparative studies. Euro Urol 55：1037-1063, 2009
31）Benway BM, Bhayani SB, Rogers CG, et al：Robot assisted partial nephrectomy versus laparoscopic partial nephrectomy for renal tumors：a multi-institutional analysis of perioperative outcomes. J Urol 182：866-873, 2009
32）Pruthi RS, Nielsen ME, Nix J, et al：Robotic radical cystectomy for bladder cancer：surgical and pathological outcomes in 100 consecutive cases. J Urol 183：510-515, 2010
，Intuitive surgical社）を使用した根治的前立腺全摘除術―本邦初24例の経験．泌尿器科紀要 54：333-339，2008
34）Murphy DG, Bjartell A, Ficarra V, et al：Downsides of robot-assisted laparoscopic radical prostatectomy：limitations and complications. Euro Urol（in press）
35）Kim WT, Ham WS, Jeong W, et al：Failure and malfunction of da Vinci surgical systems during various robotic surgeries：experience from six departments at a single institute. Urology 74：1234-1237, 2009
掲載誌情報
