Épargne néphronique dans la prise en charge des tumeurs rénales malignes solides localisées

Tracing the evolving dynamics and research hotspots in the kidney neoplasm and nephron sparing surgery field from the past to the new era

“…Though radical nephrectomy (RN) was historically the golden standard of management of renal tumors, with increasing detection of small renal lesions and accumulating evidence that partial nephrectomy (PN) can achieve oncological equivalence and functional superiority, PN has been more considered as the first‐line recommendation for cT1 localized RCC 6,9–11 . Other more conservative nephron sparing surgery (NSS) approaches including thermal ablation (TA) and active surveillance (AS) have also been widely introduced into clinical practice, which avoids overtreatment, limits invasiveness and iatrogenic renal function impairment 12 . Nowadays, there has been considerable research regarding the indication, surgical techniques, oncological and functional outcomes, for the sake of optimizing the management of patients with RCC.…”

“… 6 , 9 , 10 , 11 Other more conservative nephron sparing surgery (NSS) approaches including thermal ablation (TA) and active surveillance (AS) have also been widely introduced into clinical practice, which avoids overtreatment, limits invasiveness and iatrogenic renal function impairment. 12 Nowadays, there has been considerable research regarding the indication, surgical techniques, oncological and functional outcomes, for the sake of optimizing the management of patients with RCC. However, there haven't been documents that systematically investigate and summarize the development and research trends in this field.…”