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目的:探讨离体肾部分切除联合自体肾移植技术治疗复杂性肾肿瘤的安全性和可行性。方法:回顾性分析2012—2016年采用该法处理复杂性肾肿瘤共5例。结果:除1例von Hippel-Lindau(VHL)病合并巨大肾错构瘤患者因发现肾脏肿瘤广泛放弃行自体肾移植手术外。其他4例均完整挖除肿瘤并行成功自体肾移植手术。并随访6个月以上,未见有明显肿瘤复发或者移植肾功能失功情况。结论:离体肾部分切除联合自体肾移植术,在根治肿瘤的同时最大程度保护肾单位,是治疗复杂肾肿瘤的一种可选手术方式。
Objective: To investigate the safety and feasibility of ex vivo partial nephrectomy combined with autologous kidney transplantation in the treatment of complex renal tumors. Methods: A retrospective analysis of 2012-2016 in the treatment of complex renal tumors in 5 cases. Results: All patients except one patient with von Hippel-Lindau (VHL) disease complicated with giant renal hamartoma were given extensive renunciation of renal tumors for autologous kidney transplantation. The other 4 cases were completely removed tumors in parallel with successful autologous kidney transplantation. And follow-up more than 6 months, no significant tumor recurrence or graft dysfunction. CONCLUSIONS: Partial excision of the kidneys in combination with autologous kidney transplantation is an optional surgical modality for the treatment of complex renal tumors while radicalizing the neoplasm and maximizing the protection of nephrons.