R.E.N.A.L.评分系统在后腹腔镜下保留肾单位手术中的应用研究
摘要
<正>随着影像学检查技术的提高及体检的普及,有更多的早期肾癌患者被发现,这为保留肾单位手术的开展提供了可能~([1-2])。随着腹腔镜技术的发展,后腹腔镜保留肾单位手术(retroperitoneal laparoscopic partial nephrectomy,RLPN)逐渐成为了治疗T1期肾癌患者的首选手术方案。肾癌手术的术前评估主要包括肿瘤大小及位置,但对于手术难度的评估有较大的局限,为此,Kutikov等~([3])在2009年提出了肾脏肿瘤测量评分系统(R.E.N.A.L.评分系统)来预估肾脏肿瘤的手术难度。本研究通过分析我科2017年24例行RLPN患者的临床资料,以评估R.E.N.A.L.评分系统对预估手术难度的实际应用价值。
引文
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[4]廖文峰,马潞林,卢剑,等.R.E.N.A.L.肾脏肿瘤评分系统在肾脏肿瘤手术治疗中的临床应用价值分析[J].中国微创外科杂志,2013,13(7):592-596.
[5]高锡强.根治性肾切除术与保留肾单位的肾部分切除术治疗肾癌的临床疗效对比[J].当代医学,2019,25(3):112-114.
[6]刘青林,陈建森.腹腔镜肾部分切除术治疗T1a期肾细胞癌[J].中国微创外科杂志,2019,19(3):222-224.
[7] Scosyrev E,Messing EM,Sylvester R,et al.Renal function after nephron-sparing surgery versus radical nephrectomy:results from EORTC randomized trial 30904[J].Eur Urol,2014,65(2):372-377.
[8] Rosevear HM,Gellhaus PT,Lightfoot AJ,et al.Utility of the RENAL nephrometry scoring system in the real world:predicting surgeon operative preference and complication risk[J].BJU Int,2012,109(5):700-705.
[9] Bruner B,Breau RH,Lohse CM,et al.Renal nephrometry score is associated with urine leak after partial nephrectomy[J].BJU Int,2011,108(1):67-72.
[10]Mufarrij PW,Krane LS,Rajamahanty S,et al.Does nephrometry scoring of renal tumors predict outcomes in patients selected for robot-assisted partial nephrectomy?[J].J Endourol,2011,25(10):1649-1653.
[11]黄毅,阴雷,黄海,等.R.E.N.A.L.评分在后腹腔镜下肾部分切除术中预测肾脏热缺血时间的应用[J].微创泌尿外科杂志,2013,2(5):324-327.
[12]张东旭,滕竞飞,李勋钢,等.后腹腔镜下肾部分切除术在R.E.N.A.L.评分为中度复杂性肾癌中的应用[J].临床泌尿外科杂志,2012,27(10):737-740.
[13]方咏,王道虎,罗俊航,等.R.E.N.A.L评分系统在后腹腔镜保留肾单位手术中的应用研究[J].微创泌尿外科杂志,2013,2(1):40-43.
[2] Russo P,Huang W.The medical and oncological rationale for partial nephrectomy for the treatment of T1renal cortical tumors[J].Urol Clin North Am,2008,35(4):635-643.
[3] Kutikov A,Uzzo RG.The R.E.N.A.L.nephrometry s-core:a comprehensive standardized system for quantitating renal tumor size,location and depth[J].J Urol,2009,182(3):844-853.
[4]廖文峰,马潞林,卢剑,等.R.E.N.A.L.肾脏肿瘤评分系统在肾脏肿瘤手术治疗中的临床应用价值分析[J].中国微创外科杂志,2013,13(7):592-596.
[5]高锡强.根治性肾切除术与保留肾单位的肾部分切除术治疗肾癌的临床疗效对比[J].当代医学,2019,25(3):112-114.
[6]刘青林,陈建森.腹腔镜肾部分切除术治疗T1a期肾细胞癌[J].中国微创外科杂志,2019,19(3):222-224.
[7] Scosyrev E,Messing EM,Sylvester R,et al.Renal function after nephron-sparing surgery versus radical nephrectomy:results from EORTC randomized trial 30904[J].Eur Urol,2014,65(2):372-377.
[8] Rosevear HM,Gellhaus PT,Lightfoot AJ,et al.Utility of the RENAL nephrometry scoring system in the real world:predicting surgeon operative preference and complication risk[J].BJU Int,2012,109(5):700-705.
[9] Bruner B,Breau RH,Lohse CM,et al.Renal nephrometry score is associated with urine leak after partial nephrectomy[J].BJU Int,2011,108(1):67-72.
[10]Mufarrij PW,Krane LS,Rajamahanty S,et al.Does nephrometry scoring of renal tumors predict outcomes in patients selected for robot-assisted partial nephrectomy?[J].J Endourol,2011,25(10):1649-1653.
[11]黄毅,阴雷,黄海,等.R.E.N.A.L.评分在后腹腔镜下肾部分切除术中预测肾脏热缺血时间的应用[J].微创泌尿外科杂志,2013,2(5):324-327.
[12]张东旭,滕竞飞,李勋钢,等.后腹腔镜下肾部分切除术在R.E.N.A.L.评分为中度复杂性肾癌中的应用[J].临床泌尿外科杂志,2012,27(10):737-740.
[13]方咏,王道虎,罗俊航,等.R.E.N.A.L评分系统在后腹腔镜保留肾单位手术中的应用研究[J].微创泌尿外科杂志,2013,2(1):40-43.