Rassweiler J J, Abbou C, Janetschek G, Jeschke K
Department of Urology, Klinikum Heilbronn, University of Heidelberg, Germany.
Urol Clin North Am. 2000 Nov;27(4):721-36. doi: 10.1016/s0094-0143(05)70121-x.
Laparoscopic partial nephrectomy is technically difficult but oncologically effective. The operation should be performed in centers with expertise. Hemostasis can be achieved using bipolar coagulation and fibrin glue-coated cellulose. Further studies will determine whether less invasive alternatives (focused ultrasound, cryotherapy) will meet the high standard of open (or laparoscopic) nephron-sparing surgery for small renal cell carcinoma.
腹腔镜下部分肾切除术技术难度大，但在肿瘤学上效果显著。该手术应由具备专业技术的中心开展。可使用双极电凝和纤维蛋白胶涂层纤维素实现止血。进一步的研究将确定侵入性较小的替代方法（聚焦超声、冷冻疗法）是否能达到开放性（或腹腔镜下）保留肾单位手术治疗小肾癌的高标准。
