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中华腔镜泌尿外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (04) : 404 -411. doi: 10.3877/cma.j.issn.1674-3253.2025.04.002

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肾脏肿瘤保留肾单位手术的技术进展
马文明, 梁朝朝†()   
  1. 230022　合肥，安徽医科大学第一附属医院泌尿外科，安徽医科大学泌尿外科研究所，泌尿男科疾病研究与医学转化安徽省重点实验室
  • 收稿日期:2024-05-06 出版日期:2025-08-01
  • 通信作者: 梁朝朝
  • 基金资助:
    安徽省中央引导地方科技发展项目(2019b07030004); 安徽医科大学研究生科研与实践创新项目资助(YJS20230112); 安徽省高校优秀科研创新团队项目(2022AH010071)

Progress in the technology of nephron sparing surgery for renal tumors

Wenming Ma, Chaozhao Liang†()   

  1. Department of Urology, the First Affiliated Hospital of Anhui Medical University; Institute of Urology, Anhui Medical University; Anhui Province Key Laboratory of Urological and Andrological Diseases Research and Medical Transformation, Hefei 230022, China
  • Received:2024-05-06 Published:2025-08-01
  • Corresponding author: Chaozhao Liang
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引用本文：

马文明, 梁朝朝. 肾脏肿瘤保留肾单位手术的技术进展[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(04): 404-411.

Wenming Ma, Chaozhao Liang. Progress in the technology of nephron sparing surgery for renal tumors[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(04): 404-411.

随着微创技术在医学领域尤其是泌尿外科的快速发展，保留肾单位手术已经成为肾脏肿瘤治疗的"金标准"，其适应证也在逐渐扩大。相较于根治性肾切除术，保留肾单位手术在肾实质和肾功能保留方面优势显著，但也存在出血、尿瘘、肾功能不全、切缘阳性等并发症。目前，关于保留肾单位手术的术前定位评估、手术方式和手术技巧的改良、术后并发症处理等方面有较多的进展。本文结合国内外近年来的研究报道，就肾脏肿瘤保留肾单位手术的应用进展进行综述。

关键词: 肾脏肿瘤, 保留肾单位手术, 术前评估, 手术方式, 并发症, 3D虚拟模型, 免缝合, 出血与止血

With the rapid development of minimally invasive technology in the medical field, especially in Urology, nephron sparing surgery has become the "gold standard" for the treatment of renal tumors, and its indications are gradually expanding. Compared with radical nephrectomy, nephron sparing surgery has significant advantages in renal parenchyma and postoperative renal function preservation, but it also has complications such as bleeding, urinary fistula, renal insufficiency, and positive margin. At present, there are many advances in the preoperative localization evaluation, the improvement of surgical methods and techniques, and the treatment of postoperative complications of nephron sparing surgery. In this paper, the application of nephron sparing surgery for renal tumors is reviewed based on recent research reports.

Key words: Renal tumor, Nephron sparing surgery, Preoperative evaluation, Surgical methods, Complication, 3D virtual model, Sutureless, Bleeding and hemorrhage
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