臨床泌尿器科72巻7号

2018年06月発行

特集 エキスパートが本音で語る! 膀胱癌診療の最前線

〈膀胱癌治療の最前線〉

ロボット支援膀胱全摘除術

著者： 古家琢也¹ 大山力¹

所属機関： ¹弘前大学大学院医学研究科泌尿器科学講座

ページ範囲：P.544 - P.547

文献概要

▶ポイント

・ロボット支援膀胱全摘除術は，開放手術に比べ手術時間はかかるものの，出血量は少なく，より低侵襲な術式であると思われる．

・ロボットによる尿路変向術は，手技がやや煩雑であるため，チームとして術式に成熟した段階で導入したほうが安全であると思われる．

参考文献

1） Zakaria AS, Santos F, Dragomir A, et al : Postoperative mortality and complications after radical cystectomy for bladder cancer in Quebec : A population-based analysis during the years 2000-2009. Can Urol Assoc J 8 : 259─267, 2014

2） Koie T, Ohyama C, Yamamoto H, et al : The feasibility and effectiveness of robot-assisted radical cystectomy after neoadjuvant chemotherapy in patients with muscle-invasive bladder cancer. Jpn J Clin Oncol 47 : 252─256, 2017

3） Iwamoto H, Yumioka T, Yamaguchi N, et al : Robot-assisted radical cystectomy is a promising alternative to open surgery in the Japanese population with a high rate of octogenarians. Int J Clin Oncol 21 : 756─763, 2016

4） Gondo T, Yoshioka K, Nakagami Y, et al : Robotic versus open radical cystectomy : prospective comparison of perioperative and pathological outcomes in Japan. Jpn J Clin Oncol 42 : 625─631, 2012

5） Snow-Lisy DC, Campbell SC, Gill IS, et al : Robotic and laparoscopic radical cystectomy for bladder cancer : long-term oncologic outcomes. Eur Urol 65 : 193─200, 2014

6） Raza SJ, Al-Daghmin A, Zhuo S, et al : Oncologic outcomes following robot-assisted radical cystectomy with minimum 5-year follow-up : the Roswell Park cancer institute experience. Eur Urol 66 : 920─928, 2014

7） Hautmann RE, de Petriconi RC, Pfeiffer C, et al : Radical cystectomy for urothelial carcinoma of the bladder without neoadjuvant or adjuvant therapy : long-term results in 1100 patients. Eur Urol 61 : 1039─1047, 2012

8） Hellenthal NJ, Hussain A, Andrews PE, et al : Surgical margin status after robot assisted radical cystectomy : results from the International Robotic Cystectomy Consortium. J Urol 184 : 87─91, 2010

9） Nguyen DP, Al Hussein Al Awamlh B, O'Malley P, et al : Factors Impacting the Occurrence of Local, Distant and Atypical Recurrences after Robot-Assisted Radical Cystectomy : A Detailed Analysis of 310 Patients. J Urol 196 : 1390─1396, 2016

10） Nguyen DP, Al Hussein Al Awamlh B, Wu X, et al : Recurrence patterns after open and robot-assisted radical cystectomy for bladder cancer. Eur Urol 68 : 399─405, 2015

11） Kitamura H, Tsukamoto T, Shibata T, et al : Randomised phase III study of neoadjuvant chemotherapy with methotrexate, doxorubicin, vinblastine and cisplatin followed by radical cystectomy compared with radical cystectomy alone for muscle-invasive bladder cancer : Japan Clinical Oncology Group Study JCOG0209. Ann Oncol 25 : 1192─1198, 2014

12） Grossman HB, Natale RB, Tangen CM, et al : Neoadjuvant chemotherapy plus cystectomy compared with cystectomy alone for locally advanced bladder cancer. N Engl J Med 349 : 859─866, 2003

13） Hinata N, Hussein AA, George S, et al : Impact of suboptimal neoadjuvant chemotherapy on peri-operative outcomes and survival after robot-assisted radical cystectomy : a multicentre multinational study. BJU Int 119 : 605─611, 2017

14） Nix J, Smith A, Kurpad R, et al : Prospective randomized controlled trial of robotic versus open radical cystectomy for bladder cancer : perioperative and pathologic results. Eur Urol 57 : 196-201, 2010

15） Leow JJ, Reese SW, Jiang W, et al : Propensity-matched comparison of morbidity and costs of open and robot-assisted radical cystectomies : a contemporary population-based analysis in the United States. Eur Urol 66 : 569─576, 2014

16） Shen Z and Sun Z : Systematic review and meta-analysis of randomised trials of perioperative outcomes comparing robot-assisted versus open radical cystectomy. BMC Urol 16 : 59, 2016

17） Ahmed K, Khan SA, Hayn MH, et al : Analysis of intracorporeal compared with extracorporeal urinary diversion after robot-assisted radical cystectomy : results from the International Robotic Cystectomy Consortium. Eur Urol 65 : 340─347, 2014

18） Hussein AA, Ahmed YE, Kozlowski JD, et al : Robot-assisted approach to 'W'-configuration urinary diversion : a step-by-step technique. BJU Int 120 : 152─157, 2017

19） Tan WS, Sridhar A, Goldstraw M, et al : Robot-assisted intracorporeal pyramid neobladder. BJU Int 116 : 771─779, 2015

20） Desai MM, Gill IS, de Castro Abreu AL, et al : Robotic intracorporeal orthotopic neobladder during radical cystectomy in 132 patients. J Urol 192 : 1734─1740, 2014

21） Collins JW and Wiklund NP : Totally intracorporeal robot-assisted radical cystectomy : optimizing total outcomes. BJU Int 114 : 326─333, 2014

22） Raza SJ, Tawfeeq M, Al-Daghmin A, et al : Robot-assisted intracorporeal urinary diversion : where do we stand in 2014? Urol Clin North Am 41 : 503─509, 2014

23） Tyritzis SI, Hosseini A, Collins J, et al : Oncologic, functional, and complications outcomes of robot-assisted radical cystectomy with totally intracorporeal neobladder diversion. Eur Urol 64 : 734─741, 2013