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微创肾部分切除术目前已广泛开展,较根治性肾切除有明显改善肾功能的优势。其技术难题是阻断肾血管后肾脏创面止血及重建,难免引起肾缺血损伤。学者们通过分析各种因素尽量改善患肾功能,但观点不一。这些因素主要有:年龄、合并症评分、身体质量指数、术前肾功能、肿瘤位置及大小、合并症、肾缺血时间及剩余肾体积比例等等。现简要总结目前报道的影响术后肾功能恢复因素,并期待有简单有效的肾功能保护技术,促进微创肾部分切除术的进一步发展和普及。
Minimally invasive partial nephrectomy has been widely carried out, compared with radical nephrectomy has significantly improved the advantages of renal function. The technical problem is to block the renovascular hemostasis and reconstruction of renal vessels, which inevitably lead to renal ischemic injury. Scholars try their best to improve kidney function by analyzing various factors, but with different opinions. These factors are: age, comorbidity score, body mass index, preoperative renal function, tumor location and size, complications, renal ischemia time and the proportion of remaining kidney volume and so on. We briefly summarize the current reported factors that affect postoperative renal function recovery, and look forward to a simple and effective protection of renal function and promote the further development of minimally invasive partial nephrectomy and popularity.