选择性肾动脉分支阻断对机器人辅助肾部分切除术后肾功能的保护效果

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中图分类号R737.11 文献标识码 A 文章编号 2096-7721（2026）03-0423-06

Protective effect of selective renal artery branch occlusion on postoperative renal function in robot-assisted partial nephrectomy

XIAO Chunjuan'， DIAO Mingxin （1.OperatingRoom;2.DepartmentofUrology，Miyun Branch，Peking UniversityFirstHospital，BeijingO50o，China）

AbstractObjective：Toanalyzetheprotectiveefectofselectiverenalarterybranchocclusiononpostoperativerenalfunctionin robot-asisted partialnephrectomy（RAPN）.Methods：76kidneycancerpatients whounderwentsurgical reatmentatMiyun Branch， PekingUniversityFirst Hospitalfrom May2O23toMay2O25wereincluded.Theywererandomlydividedintotheobservationgroup （n=38，receivingseectivernalatrybrancholusion）andthecotrolgoup（n=38，receivingompleteolusionoftemaieal artery）usingarandom numbertable.Allpatientswerefollowedupfor2months.Theperioperativeindicators，dynamicchangesof postoperativerenalfunction，renalfunctionijury，andcomplicationrates werecomparedbetwenthetwogroups.Results：Terewere nostatisticallysigificantdierenesinoperativetime，traopeativebloodlos，andtransfusionateetweenthetwogroups（ P >0.05）. Thewarmischemiatimeandpostoperativelengthofhospitalstayinteobservationgroupweresignificantlyshorterthantosenthe control group （ P <0.05）.Compared withthecontrol group，theserumcreatinine （Scr）levelsof theobservationgroup were lower，and the estimated glomerular filtrationrate （eGFR）levels were higherat1 day，7days，1 month，and2 months after surgery P<0.05 ）. Repeated measures ANOVA showed that the group effect，time effect，and interaction effect were all significant （ P <0.001）. The incidence of acute kidney njury（AKI）andtheprogresionrateofchronickidneydisease（CKD）intheobservationgroupwerelowerthanthoseinthe control group （P<0.05 ）.There was no statistically significant diference in the total complication rates between the two groups （ P >0.05）. Conclusion：SelectiverenalarterybranchocclusioninRAPNcansignificantlyshortenthewarmischemia time，reducepostoperative renalfunctionijurypromotenalfunctionrecoeryandlowertheisksofAKIandCDprogressionhichisorthyfootio. KeyWordsRobotasistedurgey;artialNepeoy;RenalAteyrachOclusio;WahTie;RenalFunctirotectio

肾癌是泌尿系统最常见的恶性肿瘤之一，恶性程度较高，严重威胁患者的生命健康，常需行肾部分切除术治疗[1-2]。（剩余10914字）