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特集 ロボット支援前立腺全摘除術
文献概要
要旨 世界的にロボット手術が広がっていく中で，本邦においてもロボット支援腹腔鏡下前立腺全摘術（RALP）が保険適応となり，近年急速に普及しつつある。前立腺全摘除術後のQOLに影響する因子として，術後の尿失禁と勃起障害が挙げられ，他の術式との比較も含め，多くの報告がなされている。ロボットの使用により，より緻密な手術が可能となり，最近では，術後尿失禁および勃起障害のいずれにおいても，他の術式と比較してRALPの優位性を示す報告が多くなってきている。QOL質問票を用いた評価では，全身的QOLや性機能の回復において他の術式と比較してRALPの優位性を示す報告がなされている。
参考文献
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