腹腔镜肾部分切除手术技巧探讨  

Preliminary discussion about the surgical techniques of laparoscopic partial nephrectomy

作　　者：时佳子[1] 刘冰[1] 吴震杰[1] 王林辉[1] 

机构地区：[1]第二军医大学附属长征医院泌尿外科,上海200003

出　　处：《临床泌尿外科杂志》2017年第8期642-644,648,共4页Journal of Clinical Urology

基　　金：国家自然科学基金(编号81572521;81272817);上海市领军人才计划(编号2013046);上海市科技人才计划(编号13XD1400100);上海市青年科技英才扬帆计划(编号16YF1403600)

摘　　要：针对T_1期肾癌,多国指南已将肾部分切除术推荐为首选术式。微创技术的不断进步及小肾癌检出率的提高,使得肾部分切除术的地位越来越高。本文围绕肾部分切除术的三要素,即精确切除肿瘤、保护肾功能、减少并发症,通过文献回顾,结合本团队临床实例,对于腹腔镜肾部分切除术(包括普通腹腔镜、3D腹腔镜、机器人腹腔镜等)的手术经验技巧进行总结探讨。Partial nephrectomy has been recommended as the standard operation for clinical T_1 stage kidney neoplasms by several guidelines.The development of minimally invasive technique and improved diagnosis of small kidney cancer facilitate partial nephrectomy being more important.In the present study,we focused on the ＂Trifecta＂standards of partial nephrectomy（precise tumor excision,renal function protection,complication reduction）and talked about the surgical techniques including traditional laparoscopy,3Dlaparoscopy and robot-assisted laparoscopy etc.based on literature review and our own experience.

关 键 词：肾肿瘤 腹腔镜 肾部分切除术 

分 类 号：R737.11[医药卫生—肿瘤]