Groups of Oncologic Surgery & Urology,Branch of Pediatric Surgery,Chinese Medical Association.Chinese expert consensus on surgical management of unilateral Wilms tumor[J].Journal of Clinical Pediatric Surgery,2025,(10):905-915.[doi:10.3760/cma.j.cn101785-202507051-002]
单侧肾母细胞瘤手术专家共识(2025年版)
- Title:
- Chinese expert consensus on surgical management of unilateral Wilms tumor
- Keywords:
- Wilms Tumor; Surgical Procedures; Operative; Consensus
- 摘要:
- 肾母细胞瘤 (Wilms tumor,WT)是小儿最常见的原发性肾脏恶性肿瘤。目前,对于WT手术,尤其是特殊病例如巨大肿瘤或侵犯邻近脏器病例、保留肾单位手术以及淋巴结活检等手术原则,尚未达成一致。由于不规范手术带来的肿瘤复发及肿瘤分期提高等问题日益引起临床重视,因此进一步规范WT手术方法及方案,对于提高疗效和改善患者预后具有重要意义。为了更好地指导临床实践,中华医学会小儿外科学分会肿瘤外科学组及泌尿外科学组特组织专家制订了本共识。共识在依据既往临床研究结论及指南的基础上,针对手术细节及方案选择提出了指导意见。
- Abstract:
- Wilms tumor (WT) is the most common primary malignant renal tumor in children.Currently,there is no unified consensus on certain surgical principles for WT,particularly in complex cases such as large tumors,invasion of adjacent organs,nephron-sparing procedures,and lymph node biopsy.Non-standardized surgical procedures can lead to tumor recurrence and upstaging,which has drawn increasing clinical concern.Standardizing the surgical approach and protocols for WT is therefore of great importance to improving treatment outcomes and patient prognosis.To better guide clinical practice,the Oncology Surgery Group and Urology Surgery Group of the Pediatric Surgery Branch of the Chinese Medical Association have jointly formulated this expert consensus.Based on previous clinical research findings and existing guidelines,the consensus provides specific recommendations on surgical details and decision-making.
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备注/Memo
收稿日期:2025-7-22。
基金项目:内蒙古自治区卫生健康委员会2023年首府地区公立医院高水平临床专科建设项目(2023SGGZ0038); 上海市市级医院诊疗技术推广及优化管理项目(SHDC22022306)
通讯作者:王焕民,国家儿童医学中心,首都医科大学附属北京儿童医院肿瘤外科,北京 100045,Email:wanghuanmin@bch.com.cn;杨屹,中国医科大学附属盛京医院小儿泌尿外科,沈阳 110001,Email:yangy2@sj-hospital.org