[Treatment for organ-confined and locally advanced kidney cancer]

Treatment for organ-confined or locally advanced kidney cancer lies on principles established as from 1969: primary ligation of the vascular pedicle and resection of the tumour and surrounding fatty tissues. The current tendency is towards a decrease in tissue resection volume to preserve renal function, and the use of less invasive techniques, of which laparoscopic surgery, in the process of becoming a first-line therapeutic option, is the cornerstone. New technologies of tissue destruction without resection are currently being validated. Finally, close monitoring of tumours is becoming a competitive option as compared to resection and small-volume lesion destruction.