机器人辅助肾部分切除术治疗复杂性肾肿瘤的研究进展.pdfVIP

960JModUrol,Vol.30No.11Nov.2025

·肾癌精准治疗专题：综述·

机器人辅助肾部分切除术治疗复杂性肾肿瘤的研究进展

刘俊辰，刘敏

（上海交通大学医学院附属同仁医院泌尿外科，上海200336）

Researchadvancesinrobot-assistedpartialnephrectomyforcomplexrenaltumors

LIUJunchen,LIUMin

(DepartmentofUrology,TongrenHospital,ShanghaiJiaotongUniversitySchoolofMedicine,Shanghai

200336,China)

ABSTRACT:Robot-assistedpartialnephrectomy(RAPN),asaminimallyinvasivesurgicaltechnique,hasdemonstrated

significantadvancementsinrecentyearsfortreatingcomplexrenaltumorswithprecisionandsafety.Thisarticlesystematically

reviewsthetechnicaladvantagesofRAPNcomparedtolaparoscopicpartialnephrectomy(LPN)intermsofshorteningthe

ischemiatimeandprotectingrenalfunction;itelaboratesontheexpansionofindications,theapplicationofemerging

technologies(mixedreality,artificialintelligence,imagingnavigationduringsurgery),andsurgicalinnovations(self-fixation

suturetechnique,zeroischemiatechnique).TheclinicalefficacyofRAPNintreatingrenalhilartumors,completeendophytic

tumors,multifocaltumors,andsolitarykidneytumorsisalsoevaluated.RAPN,throughtechnologicalinnovationand

multidisciplinaryintegration,providesamoreoptimizedminimallyinvasivetreatmentoptionforcomplexrenaltumors,butin

thefuture,itisstillnecessarytooptimizethepredictionofintraoperativecomplicationsandlong-termrenalfunctionprotection

strategies.

KEYWORDS:robot-assistedpartialnephrectomy;complexrenaltumors;perioperativeoutcomes;renalfunction

preservation;minimallyinvasivesurgery;mixedreality;artificialintelligence;imagingnavigation;self-fixationsuture

technique;zeroischemiatechnique

摘要：机器人辅助肾部分切除术（RAPN)作为复杂性肾肿瘤微创治疗的一项重要进展，显著提升了手术精准性与安全性。本文

综述了RAPN相较于腹腔镜手术（LPN)在缩短肾脏热缺血时间、保护肾功能等方面的技术优势；阐述了其适应证的扩展、与新

兴技术（混合现实、人工智能、术中影像导航)的联合应用及手术技术的创新（自固定缝合技术、零缺血技术）；重点评价了RAPN

治疗肾