ValueofPartialNephrectomyforRenalCorticalTumorsofcT2orGreaterStage:ARisk-benefitAnalysisofRenalFunctionPreservationVersusIncreasedPostoperativeMorbidity
肾部分切除术对cT2或更高分期肾皮质肿瘤的价值:肾功能保留与术后并发症发生率增加之间的风险获益分析
导读:在治疗较大尺寸的肾脏肿瘤时,很难决定对于切除整个肾脏和仅切除肿瘤,哪个才是更好的选择。仅切除肿瘤可改善术后肾功能,但更为复杂。今天《柳叶新潮》为大家分享一篇近期发表于EuropeanUrologyOncology的研究,本文作者来自纪念斯隆-凯特琳癌症中心,
评估了对cT2或更高分期肾皮质肿瘤进行肾部分切除术的风险获益分析。
Introduction背景介绍
Indicationsforpartialnephrectomy(PN)haveexpandedtoincludelargertumors.Currently,theupperlimitofPNindicationsremainsundefined,andisdeterminedbyanindividualsurgeon’sexpertiseandpreference.Comparedwithradicalnephrectomy(RN),PNreducestheriskofchronickidneydiseasebutisassociatedwithhighermorbidity.ThedegreeofvariabilityinthechoicebetweenPNandRNforagiventumorincreaseswithtumorsize.Surgeons
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