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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...
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Partial nephrectomy: is there still a need for open surgery?

Varun Sharma1, Markus Margreiter

  • 1Department of Urology and Transplantation, Institute of Kidney Diseases and Research Centre (IKDRC-ITS), Ahmedabad, Gujarat, India.

Current Urology Reports
|December 13, 2012
PubMed
Summary
This summary is machine-generated.

Open partial nephrectomy offers comparable cancer survival to radical surgery, with superior renal function preservation and reduced mortality. Minimally invasive techniques present challenges, but open partial nephrectomy remains relevant in urological practice.

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Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Open partial nephrectomy (OPN) demonstrates long-term cancer-free survival rates comparable to radical nephrectomy.
  • OPN offers significant benefits, including better renal function preservation, reduced overall mortality, and fewer cardiovascular events.
  • Minimally invasive approaches like laparoscopic and robot-assisted partial nephrectomy are emerging alternatives.

Purpose of the Study:

  • To review the existing literature on open partial nephrectomy.
  • To evaluate the role of OPN in current urological practice.
  • To provide insights into the future of OPN in comparison to minimally invasive techniques.

Main Methods:

  • Literature review of studies published over recent years.
  • Analysis of oncological outcomes, renal function, mortality, and cardiovascular events.
  • Comparison of open versus minimally invasive partial nephrectomy techniques.

Main Results:

  • Open partial nephrectomy achieves cancer-free survival rates comparable to radical surgery.
  • OPN leads to better preservation of renal function and reduced mortality.
  • Minimally invasive partial nephrectomy shows comparable oncological results but may have higher complication rates.

Conclusions:

  • Open partial nephrectomy remains a valuable option in urological practice.
  • OPN provides oncological efficacy with significant functional and survival benefits.
  • The role of OPN will continue to be defined in relation to evolving minimally invasive techniques.