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[Carcinoma affecting a single kidney. Conservative surgery. One case (author's transl)]
Journal D'Urologie
|January 1, 1980
Summary
Partial nephrectomy is a viable option for kidney cancer in patients with a single functioning kidney, offering a low operative mortality and good long-term survival rates. This approach avoids the need for dialysis in most cases.
Area of Science:
- Urology
- Nephrology
- Oncology
Background:
- Partial nephrectomy is a crucial treatment for kidney carcinoma, especially in patients with a solitary kidney.
- Literature review on partial nephrectomy for renal cell carcinoma in single functioning kidneys.
Observation:
- A case of successful partial nephrectomy in a 77-year-old woman with a single functioning kidney.
- Operative mortality for partial nephrectomy in solitary kidneys is low (2.6%).
Findings:
- Three-year survival rates reach 61%, with rare instances of renal failure or recurrence.
- Metastasis is the primary cause of mortality; long-term survival of 6-14 years is reported.
- Prognosis is favorable when the solitary kidney is not due to prior nephrectomy for cancer.
Implications:
- Partial nephrectomy is a feasible alternative to radical nephrectomy and dialysis for kidney cancer in solitary kidneys.
- Technical considerations like arteriography and hypothermic clamping are vital for successful partial nephrectomy.
- This approach preserves renal function and improves patient outcomes.