Renal masses are uncommon during pregnancy; they represent the most frequently encountered urological cancer in pregnant patients and require careful surgical planning. The introduction of robotic surgical systems aims to address these challenges by simplifying intra-corporeal suturing and reducing technical complexity. Robot-assisted laparoscopic renal surgery offers potential benefits over both open surgery and conventional laparoscopy, providing greater precision and reduced invasiveness, particularly in tumor excision and suturing. Although urological tumors during pregnancy are rare, early detection significantly improves outcomes by enabling intervention before the tumor advances and while the uterus remains relatively small. The decision regarding the timing and necessity of surgery in pregnant patients requires a careful assessment of maternal health, fetal development, and the progression of the disease. Risks for adverse pregnancy outcomes should be explained, and the patient’s decision about pregnancy termination should be considered. Radical nephrectomy or nephron-sparing surgery are essential treatments for the management of renal tumors. Effective management demands close collaboration between a multidisciplinary team and the patient to ensure individualized care. The aim of this review was to evaluate the renal tumors during pregnancy in terms of epidemiology, risk factors, diagnosis and the safety of a robot-assisted laparoscopic approach in the management of these tumors.
肾肿瘤在妊娠期较为罕见，是妊娠患者中最常见的泌尿系统肿瘤，需要谨慎制定手术方案。机器人手术系统的引入旨在通过简化体内缝合操作、降低技术复杂性来应对这些挑战。相较于开放手术和传统腹腔镜手术，机器人辅助腹腔镜肾手术在肿瘤切除与缝合方面具有更高精确性和更低侵入性的潜在优势。尽管妊娠期泌尿系统肿瘤发生率较低，但早期发现能在肿瘤进展前及子宫相对较小时进行干预，从而显著改善预后。对于妊娠患者手术时机与必要性的决策，需综合评估母体健康状况、胎儿发育情况及疾病进展程度。应向患者说明不良妊娠结局的风险，并充分考虑其关于终止妊娠的决定。根治性肾切除术或保留肾单位手术是肾肿瘤治疗的核心手段。有效的治疗管理需要多学科团队与患者的密切协作，以确保个体化诊疗。本综述旨在从流行病学、危险因素、诊断方法及机器人辅助腹腔镜手术安全性等方面，系统评估妊娠期肾肿瘤的诊疗策略。
Robotic Surgery in the Management of Renal Tumors During Pregnancy: A Narrative Review
肿瘤(癌症)患者之家