Vattikuti Urology Institute, Henry Ford Hospital, Detroit, MI 48202, USA.
BJU Int. 2011 Sep;108(6 Pt 2):942-7. doi: 10.1111/j.1464-410X.2011.10457.x.
• Kidney sparing approaches have become the 'gold standard' for the management of small renal masses and have been shown to be equivalent to radical nephrectomy for oncological outcomes. • Robotic partial nephrectomy (RPN) has emerged as a feasible alternative to other minimally invasive approaches for patients requiring nephron-sparing surgery. • Several reports have highlighted the benefits of RPN, including a less demanding learning curve and shorter warm ischaemia time. • We describe our operative technique for transperitoneal RPN, discuss contemporary outcomes and suggest tips to avoid complications.
• 保肾方法已成为小肾肿瘤治疗的“金标准”,并且在肿瘤学结果方面与根治性肾切除术相当。 • 机器人辅助部分肾切除术(RPN)已成为需要保肾手术的患者除其他微创方法以外的可行替代方法。 • 有几项报告强调了 RPN 的优势,包括学习曲线要求较低和热缺血时间较短。 • 我们介绍了经腹腔 RPN 的手术技术,讨论了当前的结果,并提出了避免并发症的技巧。