Department of Urology, University of Patras, Patras, Greece.
World J Urol. 2013 Aug;31(4):785-91. doi: 10.1007/s00345-011-0754-4. Epub 2011 Nov 26.
The laparoscopic approach has been established as a treatment modality for the performance of radical nephrectomy during the recent years, while laparoscopic partial nephrectomy represents an alternative under investigation in several centers of laparoscopic excellence around the world. Significant advantages of laparoscopic surgery when compared to the classical open approach have extensively documented for over 2 decades. Nevertheless, laparoscopy is an evolving surgical field, which is characterized by the rapid adaptation of technical innovations. Laparoscopic renal surgery includes approaches for radical and partial nephrectomy with oncological outcome similar to open surgery and decreased postoperative morbidity and therefore can be considered for the same indications as open surgery. Several issues regarding the technical feasibility and refinement as well as the oncological efficacy of these procedures are presented.
腹腔镜技术近年来已被确立为根治性肾切除术的一种治疗方式，而腹腔镜肾部分切除术则是全世界一些腹腔镜卓越中心正在研究的替代方法。与传统的开放性手术相比，腹腔镜手术具有显著的优势，这一点已经被广泛记录了 20 多年。然而，腹腔镜手术是一个不断发展的外科领域，其特点是技术创新的快速适应。腹腔镜肾手术包括根治性和部分肾切除术的方法，其肿瘤学结果与开放性手术相似，术后发病率降低，因此可以考虑与开放性手术相同的适应证。本文介绍了这些手术的技术可行性、精细化以及肿瘤学疗效方面的一些问题。
