Open partial nephrectomy: current review
| Autor: | Nathan Lawrentschuk, Joseph Ischia, Ellen O'Connor, Brennan Timm |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Review Article on Surgery for Urologic Cancers
medicine.medical_specialty business.industry Urology medicine.medical_treatment Solitary kidney 030232 urology & nephrology Nephrectomy Surgical risk Surgery Renal neoplasm 03 medical and health sciences 0302 clinical medicine Reproductive Medicine 030220 oncology & carcinogenesis medicine Surgical history Open partial nephrectomy Nephron sparing surgery Positive Surgical Margin business |
| Zdroj: | Transl Androl Urol |
| ISSN: | 2223-4691 |
| Popis: | Partial nephrectomy (PN) is increasingly considered the gold standard treatment for localized renal cell carcinomas (RCCs) where technically feasible. The advantage of nephron-sparing surgery lies in preservation of parenchyma and hence renal function. However, this advantage is counterbalanced with increased surgical risk. In recent years with the popularization of minimally invasive partial nephrectomy (laparoscopic and robotic), the contemporary role of open PN (OPN) has changed. OPN has several advantages, particularly in complex patients such as those with a solitary kidney, multi-focal tumors, and significant surgical history, as well as providing improved application of renoprotective measures. As such, it is a technique that remains relevant in current urology practice. In this article we discuss the evidence, indications, operative considerations and surgical technique, along with the role of OPN in contemporary nephron-sparing surgery. |
| Databáze: | OpenAIRE |
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