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肾肿瘤微创治疗方法的最新进展

Update on minimally invasive approaches to kidney tumors.

作者信息

Hwang Jonathan J, Walther McClellan M

机构信息

Division of Urology, UMDNJ-Robert Wood Johnson Medical School, One Robert Wood Johnson Place, MEB 588, New Brunswick, NJ 08903, USA.

出版信息

Curr Urol Rep. 2004 Feb;5(1):13-8. doi: 10.1007/s11934-004-0005-y.

DOI:10.1007/s11934-004-0005-y
PMID:14733831
Abstract

Renal tumors are being detected at increasing rates because of widespread use of modern imaging techniques such as ultrasonography and computed tomography. Typically, these tumors, many of which are discovered incidentally, tend to be small and are confined to the kidney. Advances in ablative and imaging technology have led to the application of minimally invasive therapy in the treatment of small renal tumors. Although still evolving as a cancer treatment, minimally invasive treatment potentially offers several advantages over conventional open renal surgery: shorter convalescence, improved cosmesis, reduced postoperative pain, and renal preservation. This article reviews the status and recent progress of minimally invasive approaches to renal neoplasm.

摘要

由于超声检查和计算机断层扫描等现代成像技术的广泛应用,肾脏肿瘤的检出率正在上升。通常,这些肿瘤很多是偶然发现的,往往较小且局限于肾脏。消融和成像技术的进步已导致微创治疗在小肾脏肿瘤治疗中的应用。尽管作为一种癌症治疗方法仍在不断发展,但微创治疗相对于传统开放性肾脏手术可能具有几个优点:康复期更短、美容效果更好、术后疼痛减轻以及保留肾脏。本文综述了肾脏肿瘤微创治疗方法的现状和最新进展。

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Update on minimally invasive approaches to kidney tumors.肾肿瘤微创治疗方法的最新进展
Curr Urol Rep. 2004 Feb;5(1):13-8. doi: 10.1007/s11934-004-0005-y.
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本文引用的文献

1
Minimally invasive nephron-sparing surgery.微创保留肾单位手术
Curr Opin Urol. 2003 May;13(3):179. doi: 10.1097/00042307-200305000-00001.
2
Retroperitoneal laparoscopic cryoablation of small renal tumors: intermediate results.小肾肿瘤的腹膜后腹腔镜冷冻消融术:中期结果
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3
Laparoscopic application of radio frequency energy enables in situ renal tumor ablation and partial nephrectomy.腹腔镜下应用射频能量可实现原位肾肿瘤消融及部分肾切除术。
J Urol. 2003 Jan;169(1):49-53; discussion 53. doi: 10.1016/S0022-5347(05)64032-3.
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Phase II trial of radio frequency ablation of renal cancer: evaluation of the kill zone.
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6
Posterior retroperitoneoscopic partial nephrectomy using microwave tissue coagulator for small renal tumors.后腹腔镜下使用微波组织凝固器行小肾癌部分切除术
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7
Technical characterization of an ultrasound source for noninvasive thermoablation by high-intensity focused ultrasound.用于高强度聚焦超声无创热消融的超声源的技术特性
BJU Int. 2002 Aug;90(3):248-52. doi: 10.1046/j.1464-410x.2002.02848.x.
8
High intensity focused ultrasound as noninvasive therapy for multilocal renal cell carcinoma: case study and review of the literature.高强度聚焦超声作为多灶性肾细胞癌的非侵入性治疗:病例研究及文献综述
J Urol. 2002 Jun;167(6):2397-403.
9
The uncertainty of radio frequency treatment of renal cell carcinoma: findings at immediate and delayed nephrectomy.肾细胞癌射频治疗的不确定性:即刻和延迟肾切除术后的发现
J Urol. 2002 Apr;167(4):1587-92.
10
Percutaneous renal cryoablation of renal tumors in patients with von Hippel-Lindau disease.von Hippel-Lindau病患者肾肿瘤的经皮肾冷冻消融术
J Urol. 2002 Mar;167(3):1268-70.