Keywords
1. Introduction
2. Evidence acquisition
3. Evidence synthesis
3.1 Oncologic outcome
3.1.1 Positive surgical margins
3.1.2 Tumour seeding
3.1.3 Cancer-specific survival
3.2 Renal function preservation
3.2.1 Cold and warm ischemia
3.2.2 Parenchymal damage during tumour bed closure
3.2.3 Conversion to radical nephrectomy
3.3 Complications
3.4 Ability to treat complex cases
3.5 Cost
3.6 Quality of life
4. Conclusions
Conflicts of interest
Funding support
References
- Renal cell cancer stage migration: analysis of the National Cancer Data Base.Cancer. 2008; 113: 78-83
- Nephron sparing surgery for appropriately selected renal cell carcinoma between 4 and 7 cm results in outcome similar to radical nephrectomy.J Urol. 2004; 171: 1066-1070
- Nephron-sparing probe ablative therapy: long-term outcomes.Curr Opin Urol. 2008; 18: 150-156
- Positive margins in laparoscopic partial nephrectomy in 855 cases: a multi-institutional survey from the United States and Europe.J Urol. 2007; 178: 47-50
- Exploring the learning curve, pathological outcomes and perioperative morbidity of laparoscopic partial nephrectomy performed for renal mass.J Urol. 2005; 173: 1690-1694
- Laparoscopic partial nephrectomy: 3-year followup.J Urol. 2006; 175: 459-462
- Laparoscopic partial nephrectomy for renal masses: effect of tumor location.Urology. 2006; 67: 1169-1174
- Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors.J Urol. 2007; 178: 41-46
- The role of nephron-sparing robotic surgery in the management of renal malignancy.Curr Opin Urol. 2009; 19: 76-80
- Laparoscopic radical versus partial nephrectomy for tumors >4 cm: intermediate-term oncologic and functional outcomes.Urology. 2009; 73: 1077-1082
- Complications of laparoscopic partial nephrectomy.World J Urol. 2008; 26: 531-537
Bensalah K, Pantuck AJ, Rioux-Leclercq N, et al. Positive surgical margin appears to have negligible impact on survival of renal cell carcinomas treated by nephron-sparing surgery. Eur Urol. In press. doi:10.1016/j.eururo.2009/03.048.
- Positive surgical margins at partial nephrectomy: predictors and oncological outcomes.J Urol. 2008; 179: 2158-2163
- Port-site metastasis after laparoscopic partial nephrectomy: case report and literature review.J Endourol. 2007; 21: 404-407
Greco F, Wagner S, Reichelt O, et al. Huge isolated port-site recurrence after laparoscopic partial nephrectomy: a case report. Eur Urol. In press. doi:10.1016/j.eururo.2009.04.004.
- A case of port-site recurrence and locoregional metastasis after laparoscopic partial nephrectomy.Nat Clin Pract Urol. 2008; 5: 345-349
- Laparoscopic versus open partial nephrectomy.Urology. 2004; 64: 458-461
- Laparoscopic versus open partial nephrectomy: analysis of the current literature.Eur Urol. 2008; 53: 732-742
- Functional preservation in patients with renal cortical tumors: the rationale for partial nephrectomy.Curr Urol Rep. 2008; 9: 15-21
- The impact of ischemia time during open nephron sparing surgery on solitary kidneys: a multi-institutional study.J Urol. 2007; 177: 471-476
- Partial nephrectomy using renal artery perfusion for cold ischemia: functional and oncologic outcomes.J Endourol. 2008; 22: 1285-1290
- Renal hypothermia achieved by retrograde intracavitary saline perfusion.J Endourol. 2002; 16: 445-449
- Laparoscopic partial nephrectomy for hilar tumors.J Urol. 2005; 174: 850-853
- Laparoscopic partial nephrectomy: single center experience with 140 patients—evolution of the surgical technique and its impact on patient outcomes.J Urol. 2007; 178: 435-439
- Risk factor analysis of postoperative complications in laparoscopic partial nephrectomy.J Urol. 2008; 179: 1289-1294
- Robotic-assisted laparoscopic partial nephrectomy: surgical technique and clinical outcomes at 1 year.BJU Int. 2009; 103: 663-668
- Pattern of oncological failure following nephron sparing surgery (NSS) for unilateral unifocal renal cancer.J Urol. 2009; 181: 441
- Sutureless nephron-sparing surgery: use of albumin glutaraldehyde tissue adhesive (BioGlue).Urology. 2006; 67: 697-700
- Functional significance of using tissue adhesive substance in nephron-sparing surgery: assessment by quantitative SPECT of 99m Tc-dimercaptosuccinic acid scintigraphy.Eur Urol. 2007; 52: 785-790
- Intraoperative conversion of laparoscopic partial nephrectomy.J Endourol. 2006; 20: 205-208
- Complications of contemporary open nephron sparing surgery: a single institution experience.J Urol. 2005; 174: 855-858
- Contemporary management of renal cell carcinoma with coexistent renal artery disease: update of the Cleveland Clinic experience.Urology. 2000; 56: 382-386
- Management of synchronous renal neoplasm and abdominal aortic aneurysm.J Vasc Surg. 2000; 32: 1102-1110
- Robotic partial nephrectomy for renal hilar tumors: a multi-institutional analysis.J Urol. 2008; 180: 2353-2356
- Robotic partial nephrectomy for complex renal tumors: surgical technique.Eur Urol. 2008; 53: 514-523
- Laparoscopic partial nephrectomy for hilar tumors: technique and results.Eur Urol. 2008; 54: 409-418
- Is open surgery for partial nephrectomy an obsolete surgical procedure?.Curr Opin Urol. 1999; 9: 383-389
- Laparoscopic nephron sparing surgery: a multi-institutional European survey of 592 cases.Arch Ital Urol Androl. 2008; 80: 85-91
- Comparison of open and laparoscopic nephrectomy in obese and nonobese patients: outcomes stratified by body mass index.J Urol. 2008; 180: 79-83
- Cost analysis of open, laparoscopic, and percutaneous treatment options for nephron-sparing surgery.J Endourol. 2006; 20: 782-789
- Comparative financial analysis of minimally invasive surgery to open surgery for small renal tumours ≤3.5 cm: a single institutional experience.Eur Urol. 2007; 51: 715-721
- A cost comparison of nephron-sparing surgical techniques for renal tumour.BJU Int. 2005; 95: 1039-1042