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Robotic Partial vs Radical Nephrectomy for Clinical T3a Tumors: A Narrative Review
Thomas E Stout1, Paul T Gellhaus1, Chad R Tracy1
1Department of Urology, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.
Journal of Endourology
|June 26, 2023
Summary
Robot-assisted partial nephrectomy (RAPN) and radical nephrectomy (RARN) are viable options for T3a renal masses. While RAPN offers benefits, venous involvement in T3a renal cell carcinoma (RCC) may increase recurrence risks.
Area of Science:
- Urology
- Surgical Oncology
- Renal Mass Management
Background:
- T3a renal masses invasively extend into surrounding structures, often representing aggressive renal cell carcinoma (RCC).
- Historically, radical nephrectomy (RN) was standard, but minimally invasive techniques now allow consideration of partial nephrectomy (PN).
Conclusions:
- T3a renal masses are heterogeneous, requiring tailored treatment strategies.
- Both RARN and RAPN can be employed based on tumor substatification.
- Careful patient selection is crucial for optimizing outcomes with RAPN in T3a renal masses.
