Partial nephrectomy for renal carcinoma

A change in the patient population with kidney tumors has reactivated the discussion on conservative procedures. The asymptomatic low-stage tumors are over-represented. A majority of these patients are eligible for conservative surgery, with a statistical risk identical to that of radical procedures. However, an excess need of security and the absence of a specific biological marker often exclude submaximal solutions. The possibilities of partial nephrectomies for small renal tumors are actually underexploited.