臨床外科79巻9号

2024年09月発行

特集 徹底解説　大腸癌治療ガイドライン2024 詳説

大腸癌に対するロボット支援手術

著者： 平木将之¹ 村田幸平¹ 在田麻美¹ 柳澤公紀¹ 畑泰司¹ 杉村啓二郎¹ 武田裕¹

所属機関： ¹関西労災病院消化器外科

ページ範囲：P.986 - P.992

【ポイント】
◆ロボット支援手術は，腹腔鏡下手術の技術的課題を克服することが期待され，2018年4月から直腸癌に対して，また2022年4月から結腸癌に対して保険適用となっている．
◆癌根治性と性・排尿・肛門機能温存が求められる直腸癌手術では，選択肢の一つとしてロボット支援手術を行うことが強く推奨される．
◆結腸癌に対するロボット支援手術は，体腔内吻合も含めた短期長期成績に関するエビデンスの集積が必要であり，選択肢の一つとして弱く推奨される．

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