臨床外科79巻10号

2024年10月発行

特集 手術支援機器 百花繚乱！—ロボットとデバイスホールダー 総論

肝胆膵外科・移植外科領域のロボット支援手術の歴史

著者： 板野理¹ 皆川卓也¹ 星本相淳¹ 篠田昌宏¹

所属機関： ¹国際医療福祉大学医学部消化器外科

ページ範囲：P.1083 - P.1086

【ポイント】
◆世界では，胆膵手術に対する手術支援ロボットの適応は様々な術式に広がってきている．
◆日本ではその普及は遅れ気味であったが，2020年に入り複数の術式が保険適用となり，現在急速に施行数が増大している．

参考文献

1）土田明彦，宇山一朗（編）：消化器ダヴィンチ手術のすべて，改訂第2版．医学図書出版，2021

2）Giulianotti PC, Coratti A, Angelini M, et al：Robotics in general surgery：personal experience in a large community hospital. Arch Surg 138：777-784, 2003

3）Ciria R, Berardi G, Alconchel F, et al：The impact of robotics in liver surgery：A worldwide systematic review and short-term outcomes meta-analysis on 2, 728 cases. J Hepatobiliary Pancreat Sci 29：181-197, 2022

4）Liu Q, Zhang W, Zhao JJ, et al：Propensity-score Matched and Coarsened-exact Matched Analysis Comparing Robotic and Laparoscopic Major Hepatectomies：An International Multicenter Study of 4822 Cases. Ann Surg 278：969-975, 2023

5）Wakabayashi G, Sasaki A, Nishizuka S, et al：Our initial experience with robotic hepato-biliary-pancreatic surgery. J Hepatobiliary Pancreat Sci 18：481-487, 2011

6）加藤悠太郎，杉岡　篤，花井恒一，他：同時性肝転移を伴う大腸癌に対するda Vinci HD Surgical Systemを用いた大腸・肝同時切除術．手術65：91-95，2011

7）Himpens J, Leman G, Cadiere GB：Telesurgical laparoscopic cholecystectomy. Surg Endosc 12：1091, 1998

8）Han C, Shan X, Yao L, et al：Robotic-assisted versus laparoscopic cholecystectomy for benign gallbladder diseases：a systematic review and meta-analysis. Surg Endosc 32：4377-4392, 2018

9）Woo R, Le D, Albanese CT, et al：Robot-assisted laparoscopic resection of a type I choledochal cyst in a child. J Laparoendosc Adv Surg Tech A 16：179-183, 2006

10）Naitoh T, Morikawa T, Tanaka N, et al：Early experience of robotic surgery for type I congenital dilatation of the bile duct. J Robot Surg 9：143-148, 2015

11）Koga H, Murakami H, Ochi T, et al：Comparison of robotic versus laparoscopic hepaticojejunostomy for choledochal cyst in children：a first report. Pediatr Surg Int 35：1421-1425, 2019

12）Tang W, Qiu JG, Deng X, et al：Minimally invasive versus open radical resection surgery for hilar cholangiocarcinoma：Comparable outcomes associated with advantages of minimal invasiveness. PLoS One 16：e0248534, 2021

13）Shen BY, Zhan Q, Deng XX, et al：Radical resection of gallbladder cancer：could it be robotic? Surg Endosc 26：3245-3250, 2012

14）Goel M, Khobragade K, Patkar S, et al：Robotic surgery for gallbladder cancer：Operative technique and early outcomes. J Surg Oncol 119：958-963, 2019

15）Melvin WS, Needleman BJ, Krause KR, et al：Computer-enhanced robotic telesurgery. Initial experience in foregut surgery. Surg Endosc 16：1790-1792, 2002

16）Kamarajah SK, Bundred J, Manas D, et al：Robotic versus conventional laparoscopic liver resections：A systematic review and meta-analysis. Scand J Surg 110：290-300, 2021

17）Mavrovounis G, Diamantis A, Perivoliotis K, et al：Laparoscopic versus Robotic Peripheral Pancreatectomy：A Systematic Review and Meta-analysis. J BUON 25：2456-2475, 2020

18）Cai J, Ramanathan R, Zenati MS, et al：Robotic Pancreaticoduodenectomy Is Associated with Decreased Clinically Relevant Pancreatic Fistulas：a Propensity-Matched Analysis. J Gastrointest Surg 24：1111-1118, 2020

19）Chen PD, Wu CY, Hu RH, et al：Robotic liver donor right hepatectomy：a pure, minimally invasive approach. Liver Transplant 22：1509-1518, 2016

20）Troisi RI, Cho HD, Giglio MC, Rhu J, Cho JY, Sasaki K, et al：Robotic and laparoscopic right lobe living donation compared to the open approach：a multicenter study on 1194 donor hepatectomies. Liver Transplant 30：484-492, 2023

21）Lee KW, Choi Y, Hong SK, et al：Laparoscopic donor and recipient hepatectomy followed by robot-assisted liver graft implantation in living donor liver transplantation. Am J Transplant 22：1230-1235, 2022

22）Lee KW, Choi Y, Lee S, et al：Total robot assisted recipient's surgery in living donor liver transplantation：first step towards the future. J Hepatobiliary Pancreat Sci 30：1198-1200, 2023

23）Broering DC, Raptis DA, Elsheikh Y：Pioneering fully robotic donor hepatectomy and robotic recipient liver graft implantation - a new horizon in liver transplantation. Int J Surg 110：1333-1336, 2024

24）Liu R, Wakabayashi G, Kim HJ, et al：International consensus statement on robotic hepatectomy surgery in 2018. World J Gastroenterol 25：1432-1444, 2019

25）Liu R, Abu Hilal M, Wakabayashi G, et al：International experts consensus guidelines on robotic liver resection in 2023. World J Gastroenterol 29：4815-4830, 2023

26）Liu R, Wakabayashi G, Palanivelu C, et al：International consensus statement on robotic pancreatic surgery. Hepatobiliary Surg Nutr 8：345-360, 2019

27）Liu R, Abu Hilal M, Besselink MG, et al：International consensus guidelines on robotic pancreatic surgery in 2023. Hepatobiliary Surg Nutr 13：89-104, 2024

28）Hobeika C, Pfister M, Geller D, et al：Recommendations on Robotic Hepato-Pancreato-Biliary Surgery. The Paris Jury-Based Consensus Conference. Ann Surg. 2024 May 24. doi:10.1097/SLA.0000000000006365. Online ahead of print.