Wülfing C, Humke U
Abteilung für Urologie, Asklepios Klinik Altona, Paul-Ehrlich Straße 1, 22763, Hamburg, Deutschland,
Urologe A. 2014 Jul;53(7):960-7. doi: 10.1007/s00120-014-3512-6.
Current guidelines increasingly recommend organ-preserving surgical procedures in the treatment of renal tumors. Both the open surgical and minimally invasive surgical techniques are well established. In the literature, various systems for the systematic evaluation of comorbidities and complications have been reported. Already while taking the patient's history and preoperative planning prior to partial nephrectomy, it is recommended that a detailed risk assessment be carried out regarding expected complications. Essentially the two critical factors - the comorbidities of the patient and anatomic complexity level of the tumor - should be evaluated in order to achieve the best possible selection of patients for a partial nephrectomy and the determination of the surgical method.
当前指南越来越推荐采用保留器官的外科手术来治疗肾肿瘤。开放手术和微创手术技术都已成熟。文献中已报道了多种用于系统评估合并症和并发症的系统。在进行部分肾切除术之前采集患者病史和进行术前规划时，就建议对预期并发症进行详细的风险评估。为了尽可能最佳地选择适合进行部分肾切除术的患者并确定手术方法，本质上应评估两个关键因素——患者的合并症和肿瘤的解剖复杂程度。
