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Open partial nephrectomy in renal cell cancer - Essential or obsolete?
Eleni Anastasiadis1, Timothy O'Brien1, Archana Fernando1
1Department of Urology, Guy's and St Thomas NHS Foundation Trust, London, UK.
International Journal of Surgery (London, England)
|May 14, 2016
Summary
Partial nephrectomy, a key treatment for small renal masses, has evolved over 131 years. Open partial nephrectomy remains crucial for complex cases, advancing nephron-sparing surgery and patient outcomes.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Partial nephrectomy is the gold standard for small renal masses.
- Minimally invasive techniques have advanced, but open partial nephrectomy remains vital for complex cases.
- Open partial nephrectomy is essential for hereditary renal cancer and single kidneys.
Purpose of the Study:
- To review the historical evolution of partial nephrectomy.
- To discuss current surgical techniques in partial nephrectomy.
- To analyze oncological and functional outcomes of the procedure.
Main Methods:
- Historical review of partial nephrectomy.
- Analysis of surgical techniques.
- Evaluation of oncological and functional outcomes.
Main Results:
- Partial nephrectomy has evolved significantly over 131 years.
- Open partial nephrectomy is crucial for complex renal tumors.
- The procedure pushes the boundaries of nephron-sparing surgery.
Conclusions:
- Partial nephrectomy is a cornerstone in treating small renal masses.
- Open partial nephrectomy remains indispensable for complex cases.
- The procedure offers valuable oncological and functional outcomes.

