A comparison of two different incisional approaches in the surgical treatment of renal cell carcinomas.

Radical nephrectomy is the golden standard in the surgical treatment of renal cell carcinomas. In radical nephrectomy, the type of incision that is preferred is very important for the success of surgery. Within the last 6 years, we operated 76 renal cell carcinoma cases in our department. In these operations, we used either extra peritoneal flank incision (EFI) or transabdominal subcostal incision (TASI). In this study, we decided to compare the effects of these two incisional approaches on the clinical prognosis of the disease. We realized that TASI was our method of choice in tumors with high stage and large diameters. EFI on the other hand, was chosen for the cases with low stage. Both methods did not differ regarding intraoperative and postoperative complications. We concluded that in the treatment of renal cell carcinoma, the type of incision should be chosen according to the clinical picture of the disease and the experience of the surgeon in order for the operation to be successful.