臨床婦人科産科71巻3号

2017年04月発行

今月の臨床 婦人科がん低侵襲治療の現状と展望〈特別付録web動画〉

子宮体がん

腹腔鏡下手術

著者： 寺井義人¹ 田中智人¹ 古形祐平¹ 芦原敬允¹ 藤原聡枝¹ 田中良道¹ 佐々木浩¹ 恒遠啓示¹ 大道正英¹

所属機関： ¹大阪医科大学産婦人科

ページ範囲：P.336 - P.343

文献概要

●2014年4月に初期子宮体がんに対して腹腔鏡下根治術が保険適応となり，本邦でも普及してきた．

●腹腔鏡下子宮体がん手術の適応については，現在保険適応にある筋層浸潤1/2未満，G1〜2のlow risk早期子宮体がんでは標準治療となりうると考えられる．

●intermediate〜high risk早期子宮体がんに対する傍大動脈リンパ節郭清術への適応や進行子宮体がんに対する腹腔鏡下手術の可能性と限界について理解し，腹腔鏡下手術を発展させていく必要がある．

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