Minimally invasive partial nephrectomy for complex renal tumors: technical advances and practical insights
10.12483/j.issn.1009-8291.2026.05.001
- VernacularTitle:复杂性肾肿瘤的微创肾部分切除术：技术进展与实践思考
- Author:
Xingang CUI
1
;
Tianyue YANG
1
;
Xiuwu PAN
1
Author Information
1. Department of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
- Publication Type:Journal Article
- Keywords:
renal tumors;
partial nephrectomy;
minimally invasive surgery;
robot-assisted surgery;
vascular control;
intraoperative navigation;
surgical strategies
- From:
Journal of Modern Urology
2026;31(5):397-403
- CountryChina
- Language:Chinese
-
Abstract:
With advances in imaging and the growing emphasis on nephron preservation, partial nephrectomy has become central in the management of T1 renal tumors and has gradually been extended to complex renal masses, where surgical challenges are greater.This article reviews the current status, key technical advances, and clinical application strategies of minimally invasive partial nephrectomy for complex renal tumors.It compares the suitability and advantages of laparoscopic and robot-assisted approaches across different levels of tumor complexity, and summarizes the value of three-dimensional reconstruction, precise selective vascular control, and intraoperative navigation in improving surgical safety and controllability. It elaborates on the management pathways and technical strategies for typical scenarios such as renal hilar lesions, completely intrarenal tumors, cystic tumors, and multifocal tumors, and summarizes operative techniques and perioperative risk-control considerations for high-risk cases, including solitary kidneys, T2 or higher stage tumors, tumors with local invasion of the renal pelvis, and those complicated with vascular tumor thrombus.The article also briefly discusses controversies regarding indication boundaries and the balance between functional preservation and oncologic safety, and highlights the trend toward a standardized, reproducible precision surgery paradigm supported by intelligent planning and quality-control systems.
