臨床泌尿器科72巻6号

2018年05月発行

綜説

ロボット支援下腎部分切除術

著者： 雑賀隆史¹

所属機関： ¹愛媛大学医学部泌尿器科学

ページ範囲：P.403 - P.408

文献概要

要旨

　近年のロボット支援下手術の普及に伴い，高解像度3D画像，多自由度鉗子を用いた鏡視下手術の特性を活かした小径腎細胞癌に対する低侵襲手術としてRAPNが行われるようになり，本邦でも2016年4月の保険収載後にきわめて急速に普及しつつある．RAPNにおける短期手術成績，腎機能保持や腫瘍制御などについて従来の腹腔鏡下腎部分切除術のそれと比較することで現況でのRAPNの有用性を明らかにし，さらにロボット手術の特性を活かした今後の発展と留意点を概説する．

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