Challenging situations in partial nephrectomy

Abstract

Although most partial nephrectomies are performed as primary procedures in the elective or semi-imperative setting on kidneys with relatively normal anatomy, this is not always the case.The indications for partial nephrectomy continue to expand and it is becoming particularly relevant in patients with single functioning kidneys, poor kidney function, anatomical anomalies and hereditary syndromes predisposing to multiple kidney cancers, such as Von Hippel-Lindau syndrome. These, along with previous abdominal surgery, pose surgical challenges. In this article we offer advice as to how to tackle these unusual situations.An ability to master the whole range of indications will allow the modern upper renal tract surgeon to offer partial nephrectomy to a wider range of patients.

Minimal Invasive Treatments for Renal Cell Carcinoma

“…Approximately 75% of renal masses are less than 4 cm in size was detected incidentally [13]. By the advances in renal and vascular surgery; partial nephrectomy (PN) is now considered the standard treatment that has superior functional and equivalent oncological outcomes for T1 tumors (<7 cm) when techniqually feasible [14]. The first case of open partial nephrectomy (OPN) for renal tumor was performed by Czerny in 1887 [15].…”

The diagnosis and management of small renal masses

“…To round off the special series, Raison et al [15] cover particularly challenging and unusual situations in partial nephrectomy that a urologist may encounter M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT 3 and Caputo et al [16] discus how to deal with the complications arising from the procedure.…”

Laparoscopic nephron-sparing surgery for a tumor near the isthmus of a horseshoe kidney with a complicated blood supply

“…A tumor in a horseshoe kidney is considered one of the most challenging circumstances, even in experienced hands. 6 We herein present a case of renal cell carcinoma (RCC) within a horseshoe kidney near the isthmus with a complicated blood supply treated by LPN. According to our online literature review, few such cases have been reported to date.…”