肾肿瘤腹腔镜手术方法课件.pptVIP

方法与争议 肾癌剜除术 Vermooten V. Indications for conservative surgery in certain renal tumours: a study based on the growth pattern of clear cell carcinoma. J Urol 1950; 64: 200. 肾癌剜除 Graham SD Jr, Glean JF. Enucleation surgery for renal malignancy. J Urol 1979; 122: 546. 肾癌剜除 肾癌楔形切除-wedge resec. 肾癌楔形切除 剜除术成功的前提是肿瘤假包膜完整而且未被累及 最适于VHL患者，其特征是双侧低级别而且有 假包膜的肾癌 肾癌剜除术 理论基础与适应征 VHL患者行肾癌剜除术 Spencer WF. J Urol 1988; 139: 507. 争议：许多病例假包膜存在微转移 肾癌剜除术 Marshall FF,. J Urol 1986; 135: 231. Rosenthal CL, Eur Urol 1984; 10: 222. Blackley SK, J Urol 1988; 140: 6. 肾癌根治-体积巨大(12cm) Case 1 肾癌根治-体积巨大(14cm) Case 2 肾癌根治-体