Surgical selection and technical improvement of partial nephrectomy for renal hilum tumors

doi:10.3877/cma.j.issn.1674-3253.2025.04.020

Abstract

Abstract:

Partial nephrectomy has been recommended by various guidelines as the preferred surgical procedure for T1a stage renal tumors. However, due to its special anatomical location near renal blood vessels and the renal collecting system, partial nephrectomy for renal portal tumors has always been recognized as a challenging surgery in Urology. This article summarizes the surgical techniques and experience of this procedure, and believes that through comprehensive preoperative evaluation, appropriate surgical approach selection, improved tumor resection and wound reconstruction techniques, the surgery can be safely and effectively completed, achieving the "three consecutive victories" goal of negative margins, shortened ischemia time, and reduced perioperative complications.

Key words: Renal hilum tumor, Renal cell carcinoma, Partial nephrectomy, Prognosis

Ruixiang Luo, Xiangfu Zhou. Surgical selection and technical improvement of partial nephrectomy for renal hilum tumors[J]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(04): 521-527.

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