泌尿器科腫瘍に対する腹腔鏡下手術

Laparoscopic surgery for urological tumors are recently considered as standard operative procedures. From 1992 to August 2005, we performed 70 laparoscopic adrenalectomies for various adrenal tumors, 57 laparoscopic radical nephrectomies for renal tumors, 22 laparoscopic nephroureterectomies for upper urinary tract tumors, and 8 laparoscopic radical prostatectomies for early prostate cancer. Also, we performed several laparoscopic pyeloplasties for ureteropelvic junction obstruction cases, or laparoscopic nephrectomies for benign disease included pediatric cases.
Laparoscopic adrenalectomy is standard operation for various adrenal tumors except for very large malignant tumors. Laparoscopic radical nephrectomy become standard operation for T1/T2 renal cell carcinoma indicated nephrectomy. Both transperitoneal and retroperitoneal approach are suitable. Laparoscopic nephroureterectomy for upper urinary tract tumors is also considered as a standard operative procedure, and retroperitoneal approach is usually selected. Laparoscopic prostatectomy is minimally invasive operative method for localized prostatectomy, however further observations are necessary to consider standard procedure.

四国医学雑誌 : http://www.tokushima-u.ac.jp/med/research/shikoku_acta_medica.html