肾周脂肪对微创肾部分切除术影响的新认识

doi:10.19558/j.cnki.10-1020/r.2018.02.016

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摘要肾部分切除术(PN)在临床上的应用越来越广泛,随着微创技术的发展,腹腔镜肾部分切除术(LPN)或机器人辅助腹腔镜肾部分切除术(RAPN)已成为推荐的手术方式,对于系统评价PN手术复杂程度相关方面的评价体系也在逐步完善。目前, 泌尿外科医师公认: 肾周脂肪厚度、肾周脂肪粘连均能使微创PN手术难度增加。本文通过回顾近年来关于微创PN手术评估的国内外文献,系统介绍周脂肪厚度、肾周脂肪粘连及MAP评分系统对于微创肾部分切除术术前评估的临床意义做一系统综述。

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	李松
	常泰浩
	张瑞珊
	陈仕洋
	乔宝民

关键词 ：肾周脂肪, 肾部分切除术, MAP肾周脂肪评分, 机器人辅助, 后腹腔镜

Abstract：Partial resection of renal tumor (PN) is more and more widely applied clinically. With the progress of minimally invasive surgery, laparoscopic partial nephrectomy (LPN) or robotic-assisted laparoscopic partial nephrectomy (RAPN) has become the recommended surgical approach. The evaluation system of systematic evaluation for the PN complex complexity is also gradually improved. At present, the urologists recognize that perirenal fat thickness and peritoneal fat adhesions can make PN surgery more difficult. In this paper, we reviewed the recent literatures on the assessment of PN surgery, and systematically introduced the systematic review of the clinical significance of preoperative evaluation of partial nephrectomy by renal fat thickness, perirenal fat adduction and MAP scoring system.

Key words： perirenal fat partial nephrectomy MAP score robot-assisted retroperitoneal laparoscopy

收稿日期: 2017-09-04

ZTFLH:

R737.11

通讯作者: 李松,739026255@qq.com

作者简介: △审校者

引用本文:

李松, 常泰浩, 张瑞珊, 陈仕洋, 乔宝民. 肾周脂肪对微创肾部分切除术影响的新认识[J]. 微创泌尿外科杂志, 2018, 7(2): 135-140.
Li Song, Chang Taihao, Zhang Ruishan, Chen Shiyang, Qiao Baomin. A new understanding of the effect of perirenal fat on minimally invasive partial nephrectomy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(2): 135-140.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1360.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2018/V7/I2/135

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