Open Partial Nephrectomy in Renal Cancer: A Feasible Gold Standard Technique in All Hospitals
Introduction. Partial nephrectomy (PN) is playing an increasingly important role in localized renal cell carcinoma (RCC) as a true alternative to radical nephrectomy. With the greater experience and expertise of surgical teams, it has become an alternative to radical nephrectomy in young patients wh...
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| Format: | Article |
| Language: | English |
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Wiley
2008-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2008/916463 |
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| author | J. M. Cozar M. Tallada |
| author_facet | J. M. Cozar M. Tallada |
| author_sort | J. M. Cozar |
| collection | DOAJ |
| description | Introduction. Partial nephrectomy (PN) is playing an increasingly important role in localized renal cell carcinoma (RCC) as a true alternative to radical nephrectomy. With the greater experience and expertise of surgical teams, it has become an alternative to radical nephrectomy in young patients when the tumor diameter is 4 cm or less in almost all hospitals since cancer-specific survival outcomes are similar to those obtained with radical nephrectomy.
Materials and Methods. The authors comment on their own experience and review the literature, reporting current indications and outcomes including complications. The surgical technique of open partial nephrectomy is outlined.
Conclusions. Nowadays, open PN is the gold standard technique to treat small renal masses, and all nonablative techniques must pass the test of time to be compared to PN. It is not ethical for patients to undergo radical surgery just because the urologists involved do not have adequate experience with PN. Patients should be involved in the final treatment decision and, when appropriate, referred to specialized centers with experience in open or laparoscopic partial nephrectomies. |
| format | Article |
| id | doaj-art-026fc11dc83b4e1b9ca061fb691ca6f0 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2008-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-026fc11dc83b4e1b9ca061fb691ca6f02025-08-20T03:55:32ZengWileyAdvances in Urology1687-63691687-63772008-01-01200810.1155/2008/916463916463Open Partial Nephrectomy in Renal Cancer: A Feasible Gold Standard Technique in All HospitalsJ. M. Cozar0M. Tallada1Department of Urology, Virgen de las Nieves University Hospital, Granada, SpainDepartment of Urology, Virgen de las Nieves University Hospital, Granada, SpainIntroduction. Partial nephrectomy (PN) is playing an increasingly important role in localized renal cell carcinoma (RCC) as a true alternative to radical nephrectomy. With the greater experience and expertise of surgical teams, it has become an alternative to radical nephrectomy in young patients when the tumor diameter is 4 cm or less in almost all hospitals since cancer-specific survival outcomes are similar to those obtained with radical nephrectomy. Materials and Methods. The authors comment on their own experience and review the literature, reporting current indications and outcomes including complications. The surgical technique of open partial nephrectomy is outlined. Conclusions. Nowadays, open PN is the gold standard technique to treat small renal masses, and all nonablative techniques must pass the test of time to be compared to PN. It is not ethical for patients to undergo radical surgery just because the urologists involved do not have adequate experience with PN. Patients should be involved in the final treatment decision and, when appropriate, referred to specialized centers with experience in open or laparoscopic partial nephrectomies.http://dx.doi.org/10.1155/2008/916463 |
| spellingShingle | J. M. Cozar M. Tallada Open Partial Nephrectomy in Renal Cancer: A Feasible Gold Standard Technique in All Hospitals Advances in Urology |
| title | Open Partial Nephrectomy in Renal Cancer: A Feasible Gold Standard Technique in All Hospitals |
| title_full | Open Partial Nephrectomy in Renal Cancer: A Feasible Gold Standard Technique in All Hospitals |
| title_fullStr | Open Partial Nephrectomy in Renal Cancer: A Feasible Gold Standard Technique in All Hospitals |
| title_full_unstemmed | Open Partial Nephrectomy in Renal Cancer: A Feasible Gold Standard Technique in All Hospitals |
| title_short | Open Partial Nephrectomy in Renal Cancer: A Feasible Gold Standard Technique in All Hospitals |
| title_sort | open partial nephrectomy in renal cancer a feasible gold standard technique in all hospitals |
| url | http://dx.doi.org/10.1155/2008/916463 |
| work_keys_str_mv | AT jmcozar openpartialnephrectomyinrenalcancerafeasiblegoldstandardtechniqueinallhospitals AT mtallada openpartialnephrectomyinrenalcancerafeasiblegoldstandardtechniqueinallhospitals |