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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Jul 3, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
06:39

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Minimally invasive nephron-sparing surgery.

Andre Berger1, Sebastien Crouzet, David Canes

  • 1Section of Laparoscopic and Robotic Surgery, Glickman Urological Institute, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.

Current Opinion in Urology
|August 2, 2008
PubMed
Summary
This summary is machine-generated.

Minimally invasive nephron-sparing surgery, including laparoscopic partial nephrectomy, offers reduced morbidity for renal tumors. Laparoscopic partial nephrectomy shows comparable survival to open surgery and is becoming preferred.

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Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Renal tumors necessitate treatment options balancing oncologic control with renal function preservation.
  • Nephron-sparing surgery aims to remove tumors while retaining healthy kidney tissue.

Purpose of the Study:

  • To review the evolution and current status of minimally invasive nephron-sparing surgical techniques for renal tumors.

Main Methods:

  • Review of current literature on minimally invasive nephron-sparing surgery for renal tumors.
  • Comparison of outcomes between laparoscopic partial nephrectomy and ablative techniques (cryoablation, radiofrequency ablation, radiosurgery) versus traditional open partial nephrectomy.

Main Results:

  • Minimally invasive nephron-sparing surgery modalities, including laparoscopic partial nephrectomy and ablative procedures, demonstrate decreased morbidity compared to open partial nephrectomy.
  • Laparoscopic partial nephrectomy shows equivalent cancer-specific survival to open partial nephrectomy.
  • Long-term data support laparoscopic partial nephrectomy and cryoablation; radiofrequency ablation has concerns regarding incomplete tumor kill, and radiosurgery remains experimental.

Conclusions:

  • Open and laparoscopic partial nephrectomy are reference standards for small renal masses as of 2008.
  • Laparoscopic partial nephrectomy is increasingly favored at tertiary centers due to its efficacy and reduced morbidity.
  • Emerging long-term data for ablative technologies show promise for nephron-sparing management of renal tumors.