肾部分切除术治疗复杂性肾肿瘤的研究现状及进展

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摘要我国肾癌发病率逐年上升,2008年已成为男性恶性肿瘤发病率第10位的肿瘤。复杂性肾肿瘤是指具备R.E.N.A.L.评分≥7、解剖性或功能性孤立肾,且无局部或远处转移等临床和生物学特征的一类局限性肿瘤。复杂性肾肿瘤实施肾部分手术(PN)是泌尿外科的一次挑战。近年来,手术技巧、手术设备、手术辅助的手段的进步使外科手术在治疗复杂性肾肿瘤方面取得了重要的研究进展。开放手术、腹腔镜手术、机器人辅助腹腔镜手术等PN已逐步取代根治性肾切除术,并有效地提高了患者的生活质量和总体生存率。本文拟对PN 治疗复杂性肾肿瘤的方法及安全性和有效性作一综述。

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	王强张旭

关键词 ：复杂性肾肿瘤, 肾部分切除术

Abstract：The incidence of renal cell carcinoma is gradually increased in China, and it has become a kind of tumors with the 10th cancer incidence in men at 2008. Complex renal tumors are defined as a kind of localized tumors with such clinical and biological characteristics as RENAL score ≥7, anatomic or functional solitary kidney, and without local or remote metastasis. Partial nephrectomy (PN) for the complex renal tumors is great challenges for the urology surgery. Recently, some important progresses have been made on the operational therapy of complex renal tumors, along with the developments on the surgery techniques, equipments, and ancillaries. RN surgeries such as open PN, laparoscopic PN, and robot-assisted PN, have gradually replaced radical nephrectomy, and have effectively improved the quality of life and overall survival of patients. In this paper, progress on the methods, safety, and effectiveness in the PN treatment of complex renal tumors was reviewed.

Key words： complex renal tumor partial nephrectomy

收稿日期: 2016-05-04

ZTFLH:

R737.11

基金资助:国家高技术研究发展计划(863计划)(2014AA020607)

通讯作者: 张旭,xzhang@foxmail.com

引用本文:

王强张旭. 肾部分切除术治疗复杂性肾肿瘤的研究现状及进展[J]. 微创泌尿外科杂志, 2016, 5(5): 314-320.
Wang qiang Zhang Xu. Treatment of complex renal tumors with partial
nephrectomy: current status and progress. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(5): 314-320.

链接本文:

http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1219.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2016/V5/I5/314

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