Hou Weibin, Yan Weigang, Ji Zhigang
Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.
Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.
Urology. 2015 Jan;85(1):1-7. doi: 10.1016/j.urology.2014.10.009.
Nephrometry score systems, including RENAL nephrometry, preoperative aspects and dimensions used for an anatomical classification system, C-index, diameter-axial-polar nephrometry, contact surface area score, calculating resected and ischemized volume, renal tumor invasion index, surgical approach renal ranking score, zonal NePhRO score, and renal pelvic score, have been reviewed. Moreover, salient anatomic features like the perinephric fat and vascular variants also have been discussed. We then extract 7 anatomic characteristics, namely tumor size, spatial location, adjacency, exophytic/endophytic extension, vascular variants, pelvic anatomy, and perinephric fat as important features for partial nephrectomy. For novice surgeons, comprehensive and adequate anatomic consideration may help them in their early clinical practice.
肾计量评分系统，包括RENAL肾计量评分、用于解剖分类系统的术前方面和维度、C指数、直径-轴向-极向肾计量评分、接触表面积评分、计算切除和缺血体积、肾肿瘤侵犯指数、手术入路肾分级评分、分区肾计量评分和肾盂评分，已被综述。此外，肾周脂肪和血管变异等显著解剖特征也已被讨论。然后，我们提取了7个解剖特征，即肿瘤大小、空间位置、毗邻关系、外生性/内生性延伸、血管变异、肾盂解剖结构和肾周脂肪，作为部分肾切除术的重要特征。对于新手外科医生来说，全面而充分的解剖学考量可能有助于他们早期的临床实践。
