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Nephron sparing surgery for renal cell carcinoma in von Hippel-Lindau disease
N Shinohara1, K Nonomura, T Harabayashi
1Department of Urology, Hokkaido University, School of Medicine, Sapporo City General Hospital, Japan.
Purpose:
We evaluated the technical feasibility and followup outcomes of a nephron sparing operation for localized renal cell carcinoma and von Hippel-Lindau disease.
Materials And Methods:
Our 5 patients underwent initial nephron sparing surgery followed by serial computerized tomography.
Results:
All but 1 renal lesion was resected in 9 initial nephron sparing operations. Postoperative computerized tomography revealed 35 lesions of which 8 had enlarged. Four patients underwent secondary renal surgery and adequate renal function was preserved.
Conclusions:
Even with the high risk of local recurrence nephron sparing surgery is an appropriate approach for these patients.
