上部尿路上皮癌に対するロボット支援腹腔鏡下腎尿管全摘除術の経験

DOI
  • 齋藤 満
    秋田大学大学院医学系研究科　腎泌尿器科学講座
  • 成田 伸太郎
    秋田大学大学院医学系研究科　腎泌尿器科学講座
  • 沼倉 一幸
    秋田大学大学院医学系研究科　腎泌尿器科学講座
  • 嘉島 相輝
    秋田大学大学院医学系研究科　腎泌尿器科学講座
  • 山本 竜平
    秋田大学大学院医学系研究科　腎泌尿器科学講座
  • 小泉 淳
    秋田大学大学院医学系研究科　腎泌尿器科学講座
  • 奈良 健平
    秋田大学大学院医学系研究科　腎泌尿器科学講座
  • 羽渕 友則
    秋田大学大学院医学系研究科　腎泌尿器科学講座

Search this article

Abstract

<p>  Here, we report our initial experience of robot-assisted laparoscopic nephroureterectomy with bladder cuff excision (RNU) for patients with upper tract urothelial carcinoma (UTUC).</p><p>  We performed RNU using the da Vinci Si (for 4 patients) or Xi (for 2 patients) Surgical System between July 2019 and July 2020. All procedures involved and it was not necessary to reposition the 6 to 7 ports positioned transperitoneally, patient cart during surgery.</p><p>  The RNUs were successfully completed without the need for open conversion or blood transfusion in all patients. The median operative time was 308 (range : 242-391) min and median estimated blood loss was 63 (range : 21-426) mL. A positive periureteric margin was noted in a patient with pT3 disease. Two patients suffered from a Clavien-Dindo grade II complication with chylous ascites or diarrhea, respectively.</p><p>  Although RNU is a feasible option for UTUC patients, standardization of the operative procedure and longer follow-up studies with a larger number of patients are required.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top