| 摘要: |
| 机器人辅助腹腔镜肾肿瘤保留肾单位手术常用的手术入路可分为经腰（经后腹腔）、经腹（经腹腔）2种，2种手术入路各有优势与不足。我们在整合2种入路优势和不足的基础上，在国际上率先提出并开展了经腰腹联合入路腹腔镜肾肿瘤保留肾单位手术。本文根据不同类型肾脏肿瘤的特点，比较3种手术入路的优缺点，探讨3种入路机器人辅助腹腔镜肾肿瘤保留肾单位手术的适应证。 |
| 关键词: 机器人手术 腹腔镜技术 肾肿瘤 保留肾单位手术 经腰入路 经腹入路 经腰腹联合入路 |
| DOI：10.16781/j.0258-879x.2020.07.0701 |
| 投稿时间：2019-08-07修订日期：2020-02-05 |
| 基金项目: |
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| Approaches of robot-assisted laparoscopic nephron-sparing surgery: retroperitoneal, transperitoneal, or a combination of both? |
| LIANG Chao-zhao*,TAI Sheng |
(Department of Urology, The First Affiliated Hospital of Anhui Medical University, Institute of Urology, Anhui Medical University, Hefei 230022, Anhui, China
*Corresponding author) |
| Abstract: |
| There are two surgical approaches commonly used in robot-assisted laparoscopy nephron-sparing surgery:retroperitoneal and transperitoneal approaches, both with their own advantages and disadvantages. After analyzing the advantages and disadvantages, we are the first to use a combined retroperitoneal and transperitoneal approach for laparoscopy nephron-sparing surgery in our center. This paper compares the characteristics of the three surgical approaches, and discusses their indications according to the renal tumor characteristics for robot-assisted laparoscopic nephron-sparing surgery. |
| Key words: robotic surgical procedures laparoscopy kidney neoplasms nephron-sparing surgery retroperitoneal approach transperitoneal approach combined retroperitoneal and transperitoneal approach |
