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Chinese Journal of Endourology(Electronic Edition) ›› 2025, Vol. 19 ›› Issue (04): 404-411. doi: 10.3877/cma.j.issn.1674-3253.2025.04.002

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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 Online:2025-08-01 Published:2025-07-31
  • Contact: Chaozhao Liang

Abstract:

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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