Nephron-sparing surgery for renal tumors

A retrospective study of open and endoscopic nephron sparing surgery in the treatment of complex renal tumors

“…Patients with complex renal tumours admitted to our hospital between January 2018 and September 2019 were selected; according to operation technique, the patients (n=40) were divided into the observation group (open partial nephrectomy, n=20) and control group (laparoscopic partial nephrectomy, n=20). Inclusion Criteria: (1) Patients with a total score > 9 obtained by the Renal nephrometry scoring system 4 for evaluation (using the corresponding assignments and scoring); (2) patients with renal tumour indicated by preoperative imaging (enhanced CT and MRI) and confirmed renal cell carcinoma by postoperative pathological diagnosis; and (3) renal hilar tumour…”

“…Partial nephrectomy showed definite clinical effects, with the advantages of sparing nephrons, facilitating renal pedicle vascular control, reducing cardiovascular and cerebrovascular events, and prolonging patient survival. 1 Moreover, laparoscopic partial nephrectomy had the benefits of inducing less surgical trauma, rapid postoperative recovery, and less abdominal viscera disturbance. 2 Currently, for complex renal tumours, especially those in the renal hilum area, open surgery remains superior and revealed remarkable advantages over laparoscopic surgery.…”