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タイトル: | マイクロ波組織凝固装置を用いた腹腔鏡下無阻血腎部分切除術: 単一施設での治療成績 |
その他のタイトル: | Laparoscopic Non-Ischemic Partial Nephrectomy Using a Microwave Tissue Coagulator : A Single-Institutional Study |
著者: | 福井, 真二 家村, 友輔 松村, 善昭 影林, 頼明 三馬, 省二 |
著者名の別形: | Fukui, Shinji Iemura, Yusuke Matsumura, Yoshiaki Kagebayashi, Yoriaki Samma, Shoji |
キーワード: | Renal cell carcinoma Non-ischemic partial nephrectomy Laparoscopy Microwave tissuecoagulator |
発行日: | 30-Apr-2017 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 63 |
号: | 4 |
開始ページ: | 133 |
終了ページ: | 138 |
抄録: | We retrospectively investigated the surgical outcomes of renal cell carcinoma (RCC), perioperative complications, and residual renal function in patients receiving laparoscopic non-ischemic partial nephrectomy using a microwave tissue coagulator (MTC). Between January 2002 and December 2015, laparoscopic non-ischemic partial nephrectomy using MTC was performed in 49 patients. The histological diagnosis was RCC in 38 patients, angiomyolipoma in 4, oncocytoma in 2, and others in 5. A histologicallyproven positive surgical margin was observed in 1 (2.0%). Postoperative urine leakage occurred in 1, and it was treated conservatively. The mean follow-up period was 32.0 months. Although there was no patient who died of RCC, local recurrence occurred in 2 patients (4.1%) during the follow-up period. One of these 2 patients had a positive surgical margin. Deterioration of the residual renal function was not observed. Laparoscopic non-ischemic partial nephrectomy using MTC was safe and useful in terms of cancer control and preservation of renal function. |
著作権等: | 許諾条件により本文は2018/05/01に公開 |
DOI: | 10.14989/ActaUrolJap_63_4_133 |
URI: | http://hdl.handle.net/2433/224875 |
PubMed ID: | 28506049 |
出現コレクション: | Vol.63 No.4 |
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