臨床泌尿器科69巻10号

2015年09月発行

特集 ロボット時代の泌尿器科手術①—前立腺癌に対する新たなスタンダード Ⅱ．手術成績

手術時間・出血量・合併症

著者： 神波大己¹

所属機関： ¹京都大学大学院医学研究科泌尿器科学教室

ページ範囲：P.840 - P.846

要旨　ロボット支援前立腺全摘除術（RARP）は前立腺癌治療の新たなスタンダードとして，従来施行されてきた開腹前立腺全摘除術（ORP）や腹腔鏡下前立腺全摘除術（LRP）を上回るポテンシャルを有するものと期待されている。現時点までの文献上のstate-of-the-artは，平均手術時間152分，平均術中出血量166mL，全合併症発生率は平均9％（3〜26％）となっている。重症度別ではgrade Ⅰ：4％（2〜11.5％），grade Ⅱ：3％（2〜9％），grade Ⅲ：2％（0.5〜7％），grade Ⅳ：0.4％（0〜1.5％），grade Ⅴ：0.02％（0〜0.5％）であり，生命に影響を及ぼすようなgrade Ⅳ以上の合併症の発生は稀である。手術時間，出血量，合併症の観点からは新たなスタンダードとしての期待に応えていると考えられる。

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