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臨床泌尿器科76巻6号

2022年05月発行

特集 ここまで来た! 腎盂・尿管癌診療―エキスパートが語る臨床の最前線

〈治療編〉

鏡視下手術時代におけるリンパ節郭清の意義

著者: 近藤恒徳1

所属機関: 1東京女子医科大学附属足立医療センター泌尿器科

ページ範囲:P.380 - P.385

文献概要

▶ポイント

・上部尿路上皮癌に対するリンパ節郭清では,テンプレートに基づいた郭清を施行すれば治療的意義が認められる可能性がある.

・近年,欧米ではロボット腎尿管全摘の導入が進んでおり,リンパ節郭清の施行率も増加している.

・ロボット手術により腹腔鏡手術の技術的困難さが克服され,普遍的術式となることが期待される.

参考文献

1) 日本泌尿器科学会 (編) : 腎盂・尿管癌診療ガイドライン2014年版. メディカルレビュー社, 東京, 2014
2) National Comprehensive Cancer Network. Bladder Cancer. NCCN Clinical Practice Guideline in Oncology (NCCN GuidelinesTM). 2022, Version 1, 2022
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9) Seisen T, et al : Contemporary Role of Lymph Node Dissection at the Time of Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma. World J Urol 35 : 535-548, 2017
10) Kondo T, et al : Template-Based Lymphadenectomy Reduces the Risk of Regional Lymph Node Recurrence Among Patients with Upper/Middle Ureteral Cancer. Int J Clin Oncol 22 : 145-152, 2017
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Robotic Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma : Surgical Technique and Outcomes. Minerva Urol Nephrol 74 : 233-241, 2022

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1332

印刷版ISSN:0385-2393

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