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特集 ロボット時代の泌尿器科手術②—新たな術式への挑戦
Ⅰ．腎癌に対するロボット支援腎部分切除術
文献概要
要旨 手術支援ロボット（da Vinci®）は，その特徴として高解像度3D視野，多自由度鉗子，手振れ防止などの良好な操作性を備えており，低侵襲性かつ高度な手術操作が可能であることから，腎部分切除術に適していると考えられる。諸家の報告および当院での結果から，ロボット支援腎部分切除術は，開腹腎部分切除術，腹腔鏡下腎部分切除術に比較し，その臨床成績（癌制御，腎機能温存，周術期parameter）は同等以上であり，高いレベルで癌制御と機能温存を両立させた低侵襲手術であると考えられた。
参考文献
1）Guideline for Management of the Clinical Stage 1 Renal Mass. AUA Clinical Guidelines, 2009
2）Winfield HN, Donovan JF, Godet AS, et al：Laparoscopic partial nephrectomy：initial case report for benign disease. J Endourol 7：521-526, 1993
3）Benway BM, Wang AJ, Cabello JM, et al：Robotic partial nephrectomy with sliding-clip renorrhaphy：technique and outcomes. Eur Urol 55：592-599, 2009
4）Patel MN, Krane LS, Bhandari A, et al：Robotic partial nephrectomy for renal tumors larger than 4cm. Eur Urol 57：310-316, 2010
5）Mottrie A, De Naeyer G, Schatteman P, et al：Impact of the learning curve on perioperative outcomes in patients who underwent robotic partial nephrectomy for parenchymal renal tumors. Eur Urol 58：127-132, 2010
6）Scoll BJ, Uzzo RG, Chen DY, et al：Robot-assisted partial nephrectomy：a large single-institutional experience. Urology 75：1328-1334, 2010
7）Lee S, Oh J, Hong SK, Lee SE, et al：Open versus robot-assisted partial nephrectomy：effect on clinical outcome. J Endourol 25：1181-1185, 2011
8）Kaouk JH, Hillyer SP, Autorino R, et al：252 robotic partial nephrectomies：evolving renorrhaphy technique and surgical outcomes at a single institution. Urology 78：1338-1344, 2011
9）Wang L and Lee BR：Robotic partial nephrectomy：current technique and outcomes. Int J Urol 20：848-859, 2013
10）Spana G, Haber GP, Dulabon LM, et al：Complications after robotic partial nephrectomy at centers of excellence：multi-institutional analysis of 450 cases. J Urol 186：417-421, 2011
11）Saito H, Matsuda T, Tanabe K, et al（Japanese Society Of Endourology Laparoscopic Partial Nephrectomy Study Group）：Surgical and oncologic outcomes of laparoscopic partial nephrectomy：a Japanese multi-institutional study of 1375 patients. J Endourol 26：652-659, 2012
12）Campbell SC：Malignant renal tumors. In：McdougaL WS, Wein AJ, Kavoussi LR, et al（eds）：Campbell-Walsh Urology, 10th ed. pp1413-1474, Saunders, Philadelphia, 2011
13）Khalifeh A, Autorino R, Eyraud R, et al：Three-year oncologic and renal functional outcomes after robot-assisted partial nephrectomy. Eur Urol 64：744-750, 2013
14）Zhang X, Yan J, Ren Y, et al：Robot-assisted versus laparoscopic partial nephrectomy for localized renal tumors：a meta-analysis. Int J Clin Exp 7：4770-4779, 2014
15）Thompson RH, Lane BR, Lohse CM, et al：Every minute counts when the renal hilum is clamped during partial nephrectomy. Eur Urol 58：340-345, 2010
16）Gill IS, Kavoussi LR, Lane BR, et al：Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. J Urol 178：41-46, 2007
17）Jain S1, Nyirenda T, Yates J, et al：Incidence of renal artery pseudoaneurysm following open and minimally invasive partial nephrectomy：a systematic review and comparative analysis. J Urol 189：1643-1648, 2013
18）Omae K1, Kondo T, Takagi T, et al：Renal sinus exposure as an independent factor predicting asymptomatic unruptured pseudoaneurysm formation detected in the early postoperative period after minimally invasive partial nephrectomy. Int J Urol 22：356-361, 2015
19）Aboumarzouk OM, Stein RJ, Eyraud R, et al：Robotic versus laparoscopic partial nephrectomy：a systematic review and meta-analysis. Eur Urol 62：1023-1033, 2012
20）Ficarra V, Minervini A, Antonelli A, et al：A multicentre matched-pair analysis comparing robot-assisted versus open partial nephrectomy. BJU Int 113：936-941, 2014
21）Eyraud R, Long JA, Snow-Lisy D, et al：Robot-assisted partial nephrectomy for hilar tumors：perioperative outcomes. Urology 81：1246-1251, 2013
22）Curtiss KM, Ball MW, Gorin MA, et al：Perioperative outcomes of robotic partial nephrectomy for intrarenal tumors. J Endourol 29：293-296, 2015
23）Peyronnet B, Baumert H, Mathieu R, et al：Early unclamping technique during robot-assisted laparoscopic partial nephrectomy can minimise warm ischaemia without increasing morbidity. BJU Int 114：741-747, 2014
24）Borofsky MS, Gill IS, Hemal AK, et al：Near-infrared fluorescence imaging to facilitate super-selective arterial clamping during zero-ischaemia robotic partial nephrectomy. BJU Int 111：604-610, 2013
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