Japanese
English
- 有料閲覧
- Abstract 文献概要
- 1ページ目 Look Inside
早期腎癌が増加し,腎摘除術の大半が腎癌に対して行われている現在,腹腔鏡下腎摘除術の腎癌への適応拡大の意味は大きい.早期に腎血管を処理すること,Gerota筋膜を含めた剥離,副腎合併切除,傍大血管リンパ節郭清など,根治的腎摘除術に求められる要件を腹腔鏡下手術は満たすことができる.一方,手術時間の短縮,安全な組織摘出法の確立など,残された問題も少なくない.3症例に対する腹腔鏡下根治的腎摘除術の経験を踏まえて,根治的腎摘除術の手技,適応,問題点と今後の発展について述べた.
The majority of patients presently undergoing ne-phrectomy are suffering from early stage renal cell carcinoma. If laparoscopic surgery could be applied to renal cell carcinoma, a significantly large number of patients could benefit from this less invasive procedure. The current laparoscopic techniques can fulfill technicalrequirements for radical nephrectomy, including an early severing of the renal vessels before manipulation of the tumor itself, separation of the kidney without rupturing Gerota's fascia, removal of the adrenal gland together with the kidney, and paraaortic or paravena caval lymphadenectomy.
Copyright © 1996, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.