CAJ | 학술논문

对于分期不超过 T1期的肾肿瘤可行腹腔镜肾部分切除术。复杂的肾脏肿瘤可在低温下行肾部分切除术。腹腔镜下的低温技术有逆行插管低温技术、冰屑低温技术、经肾动脉灌注低温技术等，这些技术均能达到冷却肾脏、将热缺血变为冷缺血的目的，且经肾动脉灌注低温技术似乎效果更佳。但最佳低温温度、安全的冷缺血时限尚无统一结论，如何评价上述低温技术对肾脏的保护作用有待进一步研究。
대우분기불초과 T1기적신종류가행복강경신부분절제술。복잡적신장종류가재저온하행신부분절제술。복강경하적저온기술유역행삽관저온기술、빙설저온기술、경신동맥관주저온기술등，저사기술균능체도냉각신장、장열결혈변위랭결혈적목적，차경신동맥관주저온기술사호효과경가。단최가저온온도、안전적랭결혈시한상무통일결론，여하평개상술저온기술대신장적보호작용유대진일보연구。
Laparoscopic partial nephrecto my has been the golden standard treatment for renal tumor less than T1 .Hypother mia can be used in the procedure when dealing with complex renal mass .Retrograde hypother mia ,ice slush and renal artery perfusi on are three different methods to produce hypother mia and all can achieve cold ischemia ,while the third seems to protect kidney better .However ,the optimal temperature and safe time limit of renal cold ische miare main controversial and moreevidence is needed to evaluate the protective effect of the hypother-mia methods above .