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EDITORIAL COMMENT

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Minimally invasive radical nephrectomy has become the gold standard surgical approach for clinically organ-confined renal tumors over the last decade.1 The advent of nephron sparing surgery for stage Tl disease has, however, created new technical challenges for minimally invasive surgery and acute kidney injury resulting from warm ischemia limits the benefits of nephron sparing surgery in maximizing longer-term renal function.This article is of interest to the current urologic literature during a time when the benefits of partial nephrectomy over radical nephrectomy are becoming clearer2'3 and continued effort is being made to yet further preserve renal function. The study design is a retrospective audit of off-clamp versus clamped RAPN, including small patient numbers only. Patients who undergo clamped RAPN were matched with a cohort of selected patients undergoing off-clamp RAPN according to tumor nephrometry score and preoperative renal functional classification as well as comorbidity. There remain, however, several
机译：在过去的十年中，微创根治性肾切除术已成为临床上局限于器官的肾脏肿瘤的金标准手术方法。1然而，针对T1期疾病的保留肾单位的手术的出现，对微创手术和急性肾损伤提出了新的技术挑战由温暖的局部缺血引起的局限性限制了保留肾单位的手术在最大化长期肾功能方面的益处。在部分肾切除术优于根治性肾切除术的益处日益明显的同时，本文对当前泌尿科文献感兴趣[2] 3。为了进一步保持肾脏功能。研究设计是非钳位与钳位的RAPN的回顾性审核，仅包括少量患者。根据肿瘤肾功能评分，术前肾脏功能分类以及合并症，将接受钳制的RAPN患者与一组接受钳外的RAPN的患者进行配对。但是仍然有几个

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