影响腹腔镜保留肾单位手术术后肾功能恢复的因素分析

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摘要微创肾部分切除术目前已广泛开展,较根治性肾切除有明显改善肾功能的优势。其技术难题是阻断肾血管后肾脏创面止血及重建,难免引起肾缺血损伤。学者们通过分析各种因素尽量改善患肾功能,但观点不一。这些因素主要有:年龄、合并症评分、身体质量指数、术前肾功能、肿瘤位置及大小、合并症、肾缺血时间及剩余肾体积比例等等。现简要总结目前报道的影响术后肾功能恢复因素,并期待有简单有效的肾功能保护技术,促进微创肾部分切除术的进一步发展和普及。

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	王云鹏
	陈光富
	张旭
	王保军
	马鑫
	史立新
	李宏召
	王春杨
	艾青
	杨国强

关键词 ：肾部分切除术, 根治性肾切除, 肾功能保护, 机器人, 腹腔镜

Abstract：Minimal invasive surgery is widely performed, and partial nephrectomy has the advantage of more significantly improving renal function than radical nephrectomy. The technique problem is the hemostasis and reconstruction of the kidney after blocking renal blood vessels, which causes renal ischemia injury. Scholars have analyzed various factors to improve the renal function, but the opinions are controversial. These factors mainly include age, Charlson score(CS), body mass index (BMI), preoperative renal function, tumor size, location, complications, renal ischemia time and percent functional volume preservation, etc. This review briefly summarizes the factors influencing the postoperative recovery of renal function currently reported. It is expected to have a simple and effective protective measure for renal function, which can promote the further development of minimally invasive partial nephrectomy and popularization.

Key words： partial nephrectomy radical nephrectomy renal function protection robot laparoscope

收稿日期: 2015-08-26

ZTFLH:

R737.11

通讯作者: 张旭 E-mail: xzhang@foxmail.com

引用本文:

王云鹏,陈光富,张旭,王保军,马鑫,史立新,李宏召,王春杨,艾青,杨国强. 影响腹腔镜保留肾单位手术术后肾功能恢复的因素分析[J]. 微创泌尿外科杂志, 2015, 4(6): 380-385.
Wang Yunpeng , Chen Guangfu , Zhang Xu , Wang Baojun , Ma Xin , Shi Lixin , Li Hongzhao , Wang Chunyang , Ai Qing , Yang Guoqiang. Protection of renal function after laparoscopic partial nephrectomy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(6): 380-385.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract839.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2015/V4/I6/380

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