内容提要：

   1. 肾部分切除术与肾肿瘤剜除术的比较

   2. 鼓楼医院机器人辅助改良肾肿瘤剜除术案例分享

保留肾单位手术如何实现三连胜？三个原则：控制围手术期并发症、控制切缘阴性、保护肾功能。肾肿瘤剜除术在这三个方面具有显著优势。赵晓智老师讲通过鼓楼医院病例来详细讲解改良肾肿瘤剜除术的关键！

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文献资料：

1. Hung AJ, et al. "Trifecta" in partial nephrectomy. J Urol. 2013 Jan;189(1):36-42.

2. Gill IS, et al. 800 Laparoscopic partial nephrectomies: a single surgeon series. J Urol. 2010 Jan;183(1):34-41.

3. Spana G, et al. Complications after robotic partial nephrectomy at centers of excellence: multi-institutional analysis of 450 cases. J Urol. 2011 Aug;186(2):417-21.

4. Carini M, et al. Simple enucleation for the treatment of PT1a renal cell carcinoma: our 20-year experience. Eur Urol. 2006 Dec;50(6):1263-8.

5. Zhao X, et al. Endoscopic Robot-assisted Simple Enucleation Versus Laparoscopic Simple Enucleation With Single-layer Renorrhaphy in Localized Renal Tumors: A Propensity Score-matched Analysis From a High-volume Centre. Urology. 2018 Nov;121:97-103.

6. Lapini A, et al. Progression and long-term survival after simple enucleation for the elective treatment of renal cell carcinoma: experience in 107 patients. J Urol. 2005 Jul;174(1):57-60.

7. Minervini A, et al. Simple enucleation is equivalent to traditional partial nephrectomy for renal cell carcinoma: results of a nonrandomized, retrospective, comparative study.J Urol. 2011 May;185(5):1604-10. 

8. Lu Q, et al.Histopathologic analysis of tumor bed and peritumoral pseudocapsule after in vitro tumor enucleation on radical nephrectomy specimen for clinical T1b renal cell carcinoma.Urol Oncol. 2017 Oct;35(10):603.e15-603.e20