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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...
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5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
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Published on: April 4, 2025

Repeat partial nephrectomy: surgical, functional and oncological outcomes.

Brian Shuch1, W Marston Linehan, Gennady Bratslavsky

  • 1Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.

Current Opinion in Urology
|July 27, 2011
PubMed
Summary
This summary is machine-generated.

Repeat partial nephrectomy offers good oncologic and renal function outcomes for patients with local recurrence. Surgeons should be familiar with reoperative nephron-sparing surgery (NSS) for these challenging cases.

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Area of Science:

  • Urology
  • Oncology
  • Nephrology

Background:

  • Increased utilization of partial nephrectomy and ablative procedures leads to more cases of local renal recurrence.
  • Deciding between partial or radical nephrectomy for recurrent renal tumors is complex.

Purpose of the Study:

  • To review the outcomes of repeat and salvage partial nephrectomy for local renal recurrence.
  • To inform surgeons about the challenges, complications, and outcomes of reoperative nephron-sparing surgery (NSS).

Main Methods:

  • Review of recent data and outcome analyses on reoperative nephron-sparing surgery.
  • Evaluation of functional and oncologic outcomes in patients undergoing repeat NSS.

Main Results:

  • Repeat and salvage partial nephrectomy are challenging but feasible.
  • These procedures can lead to excellent renal function and promising oncologic outcomes at intermediate follow-up.

Conclusions:

  • Surgeons must understand the risks and benefits of reoperative NSS.
  • Current data support using NSS for local recurrence or new ipsilateral kidney lesions.