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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
Ⅱ．膀胱癌に対するロボット支援膀胱全摘除術
文献概要
要旨 ロボット支援手術は，2000年にdaVinci® surgical system（Intuitive Surgical社）が米国FDAの認可を得て以来，世界中で普及しつつある革新的な手術方法である。米国では根治的前立腺全摘除術の85％以上がロボット支援下に行われ，すでに標準術式として確立している。膀胱全摘除術が術式的に前立腺全摘除術と類似していることから，ロボット支援前立腺全摘除術の導入でda Vinci®の操作に慣れた術者が，次のステップとしてロボット支援膀胱全摘除術（RARC）の導入を積極的に開始したことは当然の流れといえる。ここ数年でRARCの報告数は急激に増加し，安全性，短いlearning curve，導入期の良好な治療成績などが多数報告されつつある。本稿ではRARCの現時点での手術成績について文献的考察を加えて報告する。
参考文献
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