Laparoscopic and Robotic-Assisted Partial Nephrectomy: An Overview of Hot Issues.
Urol Int
; 104(9-10): 669-677, 2020.
Article
em En
| MEDLINE
| ID: mdl-32759603
ABSTRACT
Laparoscopic partial nephrectomy and robot-assisted partial nephrectomy are attracting increased attention from urologists. They can achieve the same effect of oncology control as radical nephrectomy; moreover, they can offer better preservation of renal function, thus obtaining long-term living benefits. The indications are also expanding, making it possible for larger and more difficult tumors. Laparoscopic partial nephrectomy and robot-assisted partial nephrectomy can be performed by transperitoneal and retroperitoneal approaches, with their individual advantages and limitations. In addition, the renal tumor scoring systems have been widely used and studied in laparoscopic partial nephrectomy and robot-assisted partial nephrectomy. In -order to better preserve renal function, the zero-ischemia technique is widely used. The application of intraoperative imaging technology provides convenience and greater benefits. Besides, whether minimal invasive partial nephrectomy can be performed without stop antiplatelet treatment is still disputed. Clinicians perform substantial exploration and practice to achieve the "trifecta" of surgery complete resection of the tumor, maximum protection of renal function, and no complications.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Carcinoma de Células Renais
/
Laparoscopia
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Procedimentos Cirúrgicos Robóticos
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Neoplasias Renais
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Nefrectomia
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article