H W Herr1. 1. Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York.
Abstract
OBJECTIVE: To evaluate the role of nephron-sparing surgery in patients with incidental renal cell carcinoma and a normal contralateral kidney. PATIENTS AND METHODS: A total of 230 patients underwent curative surgery for unilateral renal cancer between 1979 and 1991. Of these, 41 had a partial nephrectomy. The numbers of patients who underwent partial or radical nephrectomy over the course of the study are compared. RESULTS: The number of partial compared to total nephrectomies increased from 8% in 1979-84, to 20% in 1984-88 and 30% in 1989-91. This reflected increased detection of incidental renal tumours by radiological imaging. The local recurrence rate in those patients who underwent partial nephrectomy was 2% and survival was 95%, with an average follow-up of 3 years (range, 2-13). CONCLUSION: Nephron-sparing excision of small, incidental renal tumours achieved comparable early results to radical nephrectomy.
OBJECTIVE: To evaluate the role of nephron-sparing surgery in patients with incidental renal cell carcinoma and a normal contralateral kidney. PATIENTS AND METHODS: A total of 230 patients underwent curative surgery for unilateral renal cancer between 1979 and 1991. Of these, 41 had a partial nephrectomy. The numbers of patients who underwent partial or radical nephrectomy over the course of the study are compared. RESULTS: The number of partial compared to total nephrectomies increased from 8% in 1979-84, to 20% in 1984-88 and 30% in 1989-91. This reflected increased detection of incidental renal tumours by radiological imaging. The local recurrence rate in those patients who underwent partial nephrectomy was 2% and survival was 95%, with an average follow-up of 3 years (range, 2-13). CONCLUSION: Nephron-sparing excision of small, incidental renal tumours achieved comparable early results to radical nephrectomy.
Authors: Jin Bong Choi; Byung Il Yoon; Su Jin Kim; Hyuk Jin Cho; Sung-Hoo Hong; Yeong Jin Choi; Sae Woong Kim; Tae-Kon Hwang; Ji Youl Lee Journal: Korean J Urol Date: 2011-02-21
Authors: Francesco Greco; Riccardo Autorino; Vincenzo Altieri; Steven Campbell; Vincenzo Ficarra; Inderbir Gill; Alexander Kutikov; Alex Mottrie; Vincenzo Mirone; Hendrik van Poppel Journal: Eur Urol Date: 2018-10-13 Impact factor: 24.267