从20世纪90年代中期开始,已有证据支持根治性肾切除术时可保留同侧肾上腺,除非影像学上有腺体受侵犯的表现或者原发肿瘤大[T分期晚(T2或以上)或直径较大(>7cm)]且位于肾上极。同侧肾上腺切除并非没有后果。尽管它似乎不影响围手术期的并发症发生,但的确有造成显著长 From the mid-1990s on, there is evidence that ipsilateral adrenal glands may be retained for radical nephrectomy unless there is an image of a grossly aggressive gland or a large primary tumor [T stage (T2 or above) or Larger diameter (> 7cm)] and located in the kidney pole. Ipsilateral adrenalectomy is not without consequences. Although it does not seem to affect the occurrence of perioperative complications, it does cause a significant increase