USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Curr Opin Urol. 2010 Mar;20(2):111-8. doi: 10.1097/MOU.0b013e3283362624.
Laparoscopic partial nephrectomy (LPN) technique has continually evolved over the last decade, resulting in better outcomes and increased popularity within the urological community. In this article, we provide an overview of the contemporary literature on LPN.
The technique of LPN has evolved over the last 5 years with a nearly 50% reduction of warm ischemia time in experienced hands. Complication rates have also declined such that morbidity and oncological outcomes are comparable to open partial nephrectomy, the gold standard. LPN is now an established procedure for the treatment of T1a renal tumors. It can also be safely performed for favorably located T1b tumors and more complex tumors, including hilar tumors, central tumors or tumors in solitary kidneys with good oncological and functional outcomes.
For renal tumors less than 4-7 cm (T1 lesions), partial nephrectomy is the treatment of choice. Contemporary LPN is a sophisticated procedure, and in expert hands, offers perioperative, functional and oncologic outcomes comparable to open partial nephrectomy, even for complex tumors.
腹腔镜部分肾切除术（LPN）技术在过去十年中不断发展，在泌尿外科领域取得了更好的结果和更高的人气。本文概述了 LPN 的当代文献。
在过去的 5 年中，LPN 技术有了很大的发展，经验丰富的医生施行手术时，热缺血时间几乎减少了 50%。并发症发生率也有所下降，因此发病率和肿瘤学结果与金标准的开放性部分肾切除术相当。LPN 现在已成为 T1a 肾肿瘤的标准治疗方法。对于位置有利的 T1b 肿瘤和更复杂的肿瘤，包括肾门肿瘤、中央肿瘤或单肾肿瘤，也可以安全地进行 LPN，且具有良好的肿瘤学和功能结果。
对于小于 4-7 厘米（T1 病变）的肾肿瘤，部分肾切除术是首选治疗方法。当代 LPN 是一种复杂的手术，在专家手中，即使是复杂肿瘤，其围手术期、功能和肿瘤学结果也可与开放性部分肾切除术相媲美。
