【摘要】 根治性肾切除术是肾癌的主要手术方法之一,于肾周筋膜外游离并切除肾脏及肾周脂肪、同侧肾上腺及区域淋巴结。其切除范围随着人们对肾癌的认识改变而变化。从单纯的肾切除术到经典的根治性肾切除术,肾癌的预后得到了显著的改善。而近30年影像学检查方法的进步和普及使得肾癌的早期诊断成为可能,在行根治性肾切除术时,无论是开放手术还是微创手术,可不再常规进行淋巴结清扫并保留同侧肾上腺,同样取得了良好的术后生存效果。更多还原

【Abstract】 Radical nephrectomy,involvingremoval of the kidney within its envelope of perinephric fat,ipsilateral adrenal gland,and dissection of the regional lymph glands,has become the standard surgical treatment for localized renal carcinoma.The resection range has changed greatly during the past three decades,from simple nephrectomy to radical nephrectomy,and the prognosis has been significantly improved.The widespread use of modern imaging modalities has made early diagnosis of renal carcinoma possible.During radical nephrectomy,no matter open or minimal invasive,routine lymph node dissection is no longer necessary,and sparing of ipsilateral adrenal gland has achieved satisfactory outcomes.更多还原