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Imperative and Elective Indications for Nephron-Sparing Surgery for Renal Tumors: Long-Term Oncological Follow-Up

2010

INTRODUCTION: Nephron-sparing surgery (NSS) is mandatory for patients with renal tumors in both kidneys or in a solitary kidney in order to preserve renal function (imperative indication). NSS has also become the gold standard (elective indication) for small unilateral renal tumors (< 4 cm) with a normal contralateral kidney. We report the oncological long-term follow-up of NSS of our own series and discuss the results of the current literature. PATIENTS AND METHODS: From 1979 until 2006, a total of 851 patients was treated at our institu-tion by NSS. The mean tumor diameter was 3 cm (0.5-11 cm) for elective cases and 4.2 cm (1.2-11 cm) for imperative cases. The median follow-up for electiv…

Reoperationmedicine.medical_specialtyUrologySolitary kidneyRenal functionNephrectomyDisease-Free SurvivalNeoplasms Multiple PrimaryPostoperative ComplicationsRenal cell carcinomamedicineHumansCarcinoma Renal CellRetrospective StudiesTumor sizebusiness.industryGold standardNephronsmedicine.diseaseKidney NeoplasmsSurgeryElective Surgical ProceduresKidney Failure ChronicChronic renal failureBoth kidneysNephron sparing surgeryNeoplasm Recurrence LocalbusinessFollow-Up StudiesAktuelle Urologie
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