机器人辅助腹腔镜肾部分切除术治疗肾门部肿瘤的体会(“大家泌尿网”观看手术视频)

Experience of robot-assisted partial nephrectomy in treating renal hilar tumors

肾门部肿瘤由于毗邻肾门结构,其术前定位、术中切除困难。机器人辅助腹腔镜肾部分切除术(RAPN)与传统开放式(OPN)、腹腔镜手术(LPN)相比优势明显、创伤更小,经多年发展已被广泛运用于肾门部肿瘤的治疗。3D打印、免阻断等新技术的应用更进一步降低了RAPN的难度和风险,同时能实现肾门部肿瘤手术“五连胜”。本文针对机器人应用于肾门部肿瘤的技术要点分享其在术前评估、手术技巧等方面的体会。

Renal hilar tumors are difficult to locate and remove because they are adjacent to the renal hilus.Robot-assisted partial nephrectomy(RAPN)has been maturely applied in the treatment of hilar tumors after years of development.Compared with traditional open partial nephrectomy(OPN)and laparoscopic partial surgery(LPN),RAPN has obvious advantages.The application of new technologies such as 3D printing and non-blocking has further reduced the difficulty and risk of RAPN.In this article,preoperative evaluation,surgical skills and technical points of RAPN in the treatment of renal hilar tumors are shared.