臨床泌尿器科77巻5号

2023年04月発行

特集 どこまで変わるの？　腎細胞癌診療の進歩 〈手術療法〉

ロボット支援腹腔鏡下腎部分切除術

著者： 高木敏男¹

所属機関： ¹東京女子医科大学病院泌尿器科

ページ範囲：P.336 - P.341

▶ポイント

・適切なポート配置がスムーズな手術に通ずる．

・ロボット支援腹腔鏡下腎部分切除術（RAPN）適応の限界を知ることも大切である．

・新たなデバイスでのRAPNの報告もある．

参考文献

1） Minoda R, et al : Comparison of Surgical Outcomes Between Enucleation and Standard Resection in Robot-Assisted Partial Nephrectomy for Completely Endophytic Renal Tumors Through a 1 : 1 Propensity Score-Matched Analysis. J Endourol 35 : 1779-1784, 2021

2） Davidiuk AJ, et al : Mayo Adhesive Probability Score : An Accurate Image-Based Scoring System to Predict Adherent Perinephric Fat in Partial Nephrectomy. Eur Urol 66 : 1165-1171, 2014

3） Ishiyama R, et al : Impact of the Mayo Adhesive Probability Score on the Complexity of Robot-Assisted Partial Nephrectomy. J Endourol 32 : 928-933, 2018

4） Aguilar Palacios D, et al : New Baseline Renal Function After Radical or Partial Nephrectomy : A Simple and Accurate Predictive Model. J Urol 205 : 1310-1320, 2021

5） Tachibana H, et al : Validation of a Predictive Model for New Baseline Renal Function After Radical Nephrectomy or Robot-Assisted Partial Nephrectomy in Japanese Patients. J Endourol 36 : 745-751, 2022

6） Yoshida K, et al : Robot-Assisted Laparoscopic versus Open Partial Nephrectomy for Renal Cell Carcinoma in Patients with Severe Chronic Kidney Disease. Int J Urol 29 : 1349-1355, 2022

7） Okhawere KE, et al : A Propensity-Matched Comparison of the Perioperative Outcomes Between Single-Port and Multi-Port Robotic Assisted Partial Nephrectomy : A Report from the Single Port Advanced Research Consortium （SPARC）. J Endourol 36 : 1526-1531, 2022

8） Harrison R, et al : Single-Port versus Multiport Partial Nephrectomy : A Propensity-Score-Matched Comparison of Perioperative and Short-Term Outcomes. J Robot Surg 17 : 223-231, 2023

9） Glaser ZA, et al : Single- versus Multi-Port Robotic Partial Nephrectomy : A Comparative Analysis of Perioperative Outcomes and Analgesic Requirements. J Robot Surg 16 : 695-703, 2022