維持透析者の両側腎癌に対する一期的ハンドアシスト腹腔鏡下両腎摘出術

• 森田 研

  日鋼記念病院腎移植科

• 石原 邦洋

  日鋼記念病院泌尿器科

• 榎並 宣裕

  日鋼記念病院泌尿器科

• 高橋 達郎

  日鋼記念病院検体検査科

• 伊丹 儀友

  日鋼記念病院腎センター

• 大平 整爾

  日鋼記念病院腎センター 日鋼記念病院外科

書誌事項

タイトル別名

• Simultaneous hand assisted laparoscopic bilateral nephrectomy for a hemodialysis-maintained patient with bilateral renal cell carcinomas.

抄録

A fifty-five year old man who had been maintained on hemodialysis for and half years due to chronic renal failure demonstrated bilateral small cell renal carcinomas on annual CT examination. He had no local or distant metastasis and underwent bilateral nephrectomy by a hand assisted laparoscopic procedure. Both kidneys were safely removed through a 7.5cm-long midline incision with 5 laparoscopic ports. Surgical duration was 345 min. The resected bilateral kidneys were investigated pathologically along with sufficient Gerota's fat attached and renal cell carcinoma was detected, G1>2, pT1a, pNx. Postoperative recovery was uneventful. The hand assisted procedure facilitates not only good postoperative recovery but also satisfactory pathological findings with a freely-selected access wound, compared to both an open procedure and solely laparoscopic procedure.

収録刊行物

• 日本透析医学会雑誌

  日本透析医学会雑誌 34 (11), 1415-1419, 2001

  一般社団法人 日本透析医学会

キーワード

• 両側腎癌
• ハンドアシスト手術
• 腹腔鏡手術
• 慢性腎不全
• 維持血液透析

詳細情報

• CRID: 1390001204677424384
• NII論文ID: 130003721607
• NII論文ID: 10007044917
• NII書誌ID: AN10432053
• DOI: 10.4009/jsdt.34.1415
• ISSN: 1883082X
• ISSN: 13403451
• Web Site: https://search.jamas.or.jp/link/ui/2002083469
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可