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近年来腹腔镜技术在泌尿外科手术中的应用发展迅速,腹腔镜根治性肾切除已成为肾癌根治的标准术式,但对于直径<4 cm的早期肾癌,腹腔镜保留肾单位手术逐渐被认可与应用,其在切除肿瘤的同时保留了患侧残肾肾单位及功能。虽然存在缝合困难及肾脏热缺血时间较长等问题,但是随着腹腔镜技术与器械的发展及术者操作水平的提高,腹腔镜保留肾单位手术将拥有广阔的应用前景。
In recent years, the rapid development of laparoscopic surgery in urological surgery, laparoscopic radical nephrectomy has become the standard operation for radical nephrectomy, but for early renal cell carcinoma <4 cm in diameter, nephron-laparoscopic surgery was gradually being Recognition and application, which in the removal of the tumor while retaining the ipsilateral residual renal unit and function. Although there are difficulties in suture and warm ischemia of kidney for a long time and so on, with the development of laparoscopic techniques and instruments and the improvement of operative level, laparoscopic nephron surgery will have broad application prospects.