【摘要】 目的 总结机器人辅助肾癌根治联合下腔静脉周围转移淋巴结切除术的手术要点。方法 对2019年1月—2021年12月于我院收治的肾癌合并下腔静脉周围淋巴结转移机器人手术病例进行分析和随访，并以右侧肾癌合并下腔静脉周围巨大淋巴结转移为例阐述手术过程和要点。结果 共有5例患者顺利完成手术，4例为透明细胞癌，1例为乳头状癌，平均手术时间约135 min,平均术中出血300 mL,无重大手术并发症发生。结论 有条件的肾癌合并后腹膜淋巴结转移尤其是腔静脉周围大块淋巴结转移的患者，实施机器人辅助肾癌根治联合淋巴结清扫术是可行的，微创外科手术在肾癌综合治疗中的价值值得进一步重视和研究。更多还原

【Abstract】 Objective To summarize the key points of robot assisted radical nephrectomy combined with resection of metastatic lymph nodes around inferior vena cava.Methods The patients undergoing the operation during Jan.2019 and Dec.2021 were analyzed and followed up.The surgical procedures and key points for right renal cancer with huge lymph node metastasis around inferior vena cava were illustrated.Results A total of 5 patients completed operation successfully, including 4 cases of clear cell carcinoma and 1 case of papillary carcinoma.The average operation time and estimated blood loss were 135 min and 300 mL,respectively, with no major complications.Conclusion It is feasible to perform robot assisted radical nephrectomy with resection of metastatic lymph nodes for selected patients of renal cancer especially with large lymph node metastasis around vena cava.The value of minimally invasive surgery in the comprehensive treatment of renal cancer deserves further attention and research.更多还原