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Partial Nephrectomy in the Overweight Patient: an Overview
Ben Schurhamer1, Nathan Littlejohn2, Ehab Eltahawy3
1University of Arkansas for Medical Sciences, 4301 W Markham St, #540, Little Rock, AR, 72205, USA. bschurhamer@uams.edu.
Abstract:
The diagnosis and treatment of kidney cancer continues to evolve with advances in imaging and surgical approaches. The use of nephron sparing surgery (NSS) has become the operation of choice for treating small renal masses. Yet, technical difficulty and a variety of approaches have left debate for best method in the overweight population. This review summarizes the current knowledge in the open, laparoscopic, and robotic approaches to identify key risk factors, general assessments, complication rates, and the influence of body habitus for each approach.
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The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...

