PDF(Pubmed)
Abstract：
Background: Robot-assisted partial nephrectomy (RAPN) is increasingly being employed in the management of renal cell carcinoma (RCC) and it is expanding in the field of complex renal tumors. The aim of this systematic review was to consolidate and assess the results of RAPN when dealing with entirely central hilar masses and to examine the various methods used to address the surgical difficulties associated with them. Methods: A thorough literature search in September 2023 across various databases focused on RAPN for renal hilar masses, adhering to PRISMA guidelines. The primary goal was to evaluate RAPN\'s surgical and functional outcomes, with a secondary aim of examining different surgical techniques. Out of 1250 records, 13 full-text manuscripts were reviewed. Results: Evidence is growing in favor of RAPN for renal hilar masses. Despite a predominance of retrospective studies and a lack of long-term data, RAPN shows positive surgical outcomes and preserves renal function without compromising cancer treatment effectiveness. Innovative suturing and clamping methods are emerging in surgical management. Conclusions: RAPN is a promising technique for managing renal hilar masses in RCC, offering effective surgical outcomes and renal function preservation. The study highlights the need for more long-term data and prospective studies to further validate these findings.
摘要：
背景：机器人辅助的肾部分切除术（RAPN）越来越多地用于肾细胞癌（RCC）的治疗，并且在复杂的肾肿瘤领域也在扩大。这项系统评价的目的是在处理完全中央的肺门肿块时巩固和评估RAPN的结果，并检查用于解决与之相关的手术困难的各种方法。方法：2023年9月，在各种数据库中进行了全面的文献检索，重点是肾门肿块的RAPN，遵守PRISMA准则。主要目标是评估RAPN的手术和功能结果，次要目的是检查不同的手术技术。在1250条记录中,审查了13份全文手稿。结果：越来越多的证据支持RAPN治疗肾门肿块。尽管回顾性研究占主导地位，缺乏长期数据，RAPN显示出积极的手术结果，并在不损害癌症治疗效果的情况下保留了肾功能。创新的缝合和夹紧方法正在外科管理中出现。结论：RAPN是治疗RCC肾门肿块的一种有前途的技术，提供有效的手术结果和肾功能保护。该研究强调需要更多的长期数据和前瞻性研究来进一步验证这些发现。
