[Minimal invasive approach to renal cancer]

In the last decade minimally invasive surgery for renal cell carcinoma has been performed in order to decrease perioperative morbidity, reduce the period of hospitalization, and to preserve renal tissue. Minimal invasive techniques include laparoscopic partial nephrectomy and in situ ablation of the lesion by different forms of energy such as cryoablation, radio frequency ablation, ultrasound, microwave, laser and photon energy. Long term results are not yet available, however, the early oncological and functional outcomes are promising. This article presents an updated review on the experience gained with the different approaches to treat renal cell carcinoma, the indications, the advantages, disadvantages, and the possible complications.