Partial nephrectomy – review update of indications, risks and surgical approach advances
Authors:
A. Vilaseca 1,2; D. P. Nguyen 1,3; A. Ganau Ituren 4; H. Pérez-Seoane Ballester 5; R. B. Corradi 1; K. A. Touijer 1,6
Authors‘ workplace:
Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, USA
1; Urology Department, Hospital Clínic de Barcelona, Spain
2; Urology Department, University of Bern, Switzerland
3; Urology Department, Hospital Son Llàtzer, Palma de Mallorca, Spain
4; Urology Department, Hospital Universitario de Vinalopó, Elche, Spain
5; Department of Urology, WeillMedicalCollege of Cornell University, New York, USA
6
Published in:
Urol List 2016; 14(1): 5-8
Overview
The downstage migration of kidney cancer and the gained expertise in surgical techniquehave contributed to a wider utilization of nephron sparing surgery and an expansion of its indications to include renal cortical tumors of larger size and in difficult anatomical locations. Long-term data have shown that partial nephrectomy provide comparable oncological outcomes as radical nephrectomy. Partial nephrectomy however, is associated with better renal function preservation and lower risk of chronic kidney disease. In recent years the application of minimally invasive surgical techniques such as laparoscopy and robotic assistance is on the rise. The accumulated data shows sound oncological, functional and morbidity outcomes with these new technologies.
Key words:
partial nephrectomy, renal cell carcinoma, nephron-sparing surgery
Sources
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