@article{oai:dmu.repo.nii.ac.jp:00002255, author = {山口, 重樹 and 大谷, 太郎 and 寺島, 哲二 and 高薄, 敏史 and 木村, 嘉之 and 濱口, 眞輔 and Yamaguchi, Shigeki and Otani, Taro and Terashima, Tetsuji and Takasusuki, Toshifumi and Kimura, Yoshiyuki and Hamaguchi, Shinsuke}, issue = {3}, journal = {Dokkyo Journal of Medical Sciences}, month = {Oct}, note = {ロボット支援下前立腺全摘除術(RARP)は恥骨後式前立腺全摘除術に比べ低侵襲で,当施設でも一般的な手術となり,既に700例近いRARPの麻酔管理を経験してきた.RARPを当施設で開始するにあたっては,泌尿器科医と手術室看護師,臨床工学士と共に,必要な情報収集と様々な準備を行い,幾度とシミュレーションを実施してきた結果,これまでに深刻な合併症を経験していない.しかしながら,RARPでは,良好な術野確保のため,高度な頭低位,気腹などの特殊な状況に患者が曝されるため,麻酔管理中は最新の注意を払う必要がある.RARPの安全性を確保するために,今後も経験を重ねて,RARPの麻酔管理の質を向上し行かなければならない., Robot associated radical prostatectomy(RARP)is less invasive than open radical retropubic prostatectomy. RARP has become popular in our facility. We have already experienced near 700 cases about anesthetic management of RARP. Before starting RARP in our facility, we have obtained many required knowledges, prepared many things and done its simulations together with urologists, nurses and clinical engineers. Fortunately, until now, we have never experienced serious problems during its peri-operative management. To obtain superior surgical field during RARP, there are many special situations, such as head-down tilt and pneumoperitoneum, to patients. So that, we should pay careful attention about anesthetic management of RARP and further improve anesthetic management of RARP to increase safety based on our experiences.}, pages = {209--215}, title = {ロボット支援下前立腺全摘除術の麻酔管理:600例の経験から}, volume = {46}, year = {2019} }