Division of Urology, Rhode Island Hospital and The Miriam Hospital, Providence, RI, USA; Warren Alpert Medical School, Brown University, Providence, RI, USA.
Department of Urology, Mayo Clinic, Rochester, MN, USA.
Eur Urol Focus. 2019 Nov;5(6):970-972. doi: 10.1016/j.euf.2019.02.005. Epub 2019 Feb 15.
For most patients with an anatomically straightforward cT1a renal mass, the decreased risk of CKD would likely outweigh the risk of transient perioperative morbidity. However, for patients who are old, comorbid, or frail, or for those with anatomically complex or high-risk tumors, these relative risks must be individualized to deliver personalized care.
对于大多数解剖结构简单的 cT1a 肾肿瘤患者，CKD 风险降低的获益可能超过围手术期短暂发病率增加的风险。然而，对于年老、合并症多或身体虚弱的患者，或者对于那些具有解剖结构复杂或高危肿瘤的患者，这些相对风险必须个体化，以提供个性化的治疗。
