Laparoscopic Partial Nephrectomy.
DOI:
https://doi.org/10.54212/27068048.v8i2.34Keywords:
Laparoscopic partial nephrectomy, kidney cancer, nephron sparing surgeryAbstract
Currently, most kidney cancers are diagnosed locally in approximately 65% of cases. Partial nephrectomy versus radical nephrectomy reduces the risk of all-cause mortality by 19% and specific cancer by 29%.
Partial nephrectomy can be performed open, laparoscopic, or robotic, depending on the availability, experience, preference, and skills of the surgeon. In studies with high volumes of patients and experienced surgeons, in which laparoscopic versus open partial nephrectomy was compared, no differences were found in progression-free survival and overall survival. Currently partial nephrectomy is indicated in patients with clinical stage T1 kidney cancer, and T2 in those cases that are technically feasible.
This review article verifies and updates the most important aspects of partial nephrectomy, especially its indications, approach, scoring systems, and description of the surgical technique of the laparoscopic approach.
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Copyright (c) 2020 Javier Flores-Carbajal, Harvey Medrano-Urtecho
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