tumorsMalignant tumoursMalignant tumours2224-50572587-6813Rosoncoweb10.18027/2224-5057-2011-1-11-20tumors-140Research ArticleДостижения в хирургическом леченииНовые возможности органосохраняющего лечения локализованного почечно-клеточного рака и его рецидиваBRATSLAVSKYGENNADYbratslag@mail.nih.govBORISRONALDUrologic Oncology Branch, National Cancer Institute, National Institutes of Health, 10 Center Drive MSC 1107, Building 10, CRC, Room 2W- 5942, Bethesda, Maryland 20892-1107.United StatesNational Cancer Institute, National Institutes of Health, Bethesda, MD, USAUnited States201103082015111120Copyright © BRATSLAVSKY G., BORIS R., 20152015BRATSLAVSKY G., BORIS R.BRATSLAVSKY G., BORIS R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.malignanttumors.org/jour/article/view/140

Последнее десятилетие было ознаменовано более глубоким пониманием молекулярных путей, ответственных за развитие почечно-клеточного рака (ПКР), достижениями в системном лечении диссеминированного ПКР, а также многочисленными дискуссиями по поводу выбора наиболее оптимального варианта лечения локализованных форм опухоли. Учитывая многочисленные данные о развитии почечной недостаточности после хирургического лечения, а также возрастающее количество пациентов с ранними стадиями ПКР, важность органосохраняющего лечения нельзя недооценивать. Несмотря на отсутствие рандомизированных исследований, сравнивающих эффективность органосохраняющего лечения и радикальной нефрэктомии при ПКР, многочисленные ретроспективные данные указывают на сопоставимую эффективность обоих лечебных подходов при лучших показателях функции почек в случае органосохраняющего лечения. Поэтому органосохраняющее лечение все чаще используется как для открытых, так и для малоинвазивных хирургических вмешательств. В данном обзоре будут представлены данные, подтверждающие необходимость органосохраняющего лечения при ПКР, и описаны новые возможности метода, включая лапароскопические методики с участием роботизированной техники, аблацию и повторные хирургические вмешательства на почке. 

резекция почкиорганосохраняющее хирургическое лечениероботизированная техникааблация образований в почкерецидив почечно-клеточного рака
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The authors declare that there are no conflicts of interest present.