Elective open nephron-sparing surgery for renal masses: single-center experience with 129 consecutive patients

Urology
Martin MarszalekStephan Madersbacher

Abstract

To present our experience with elective, open, nephron-sparing surgery for renal masses in a contemporary, consecutive series. In this retrospective study, the files of all patients who underwent elective nephron-sparing surgery between January 1996 and December 2002 at our institution were reviewed. The preoperative workup included renal ultrasonography and abdominal computed tomography. The histologic findings, complications, and oncologic outcome were studied. The surgical technique (ischemia and regional hypothermia) was identical in all patients. A total of 129 patients (mean age 61 years) were analyzed. The mean +/- standard deviation tumor size on preoperative computed tomography was 4.0 +/- 2.4 cm. Renal cell carcinoma was present in 86 patients (66.7%), a benign cyst in 18 (13.9%), oncocytoma in 10 (7.8%), angiomyolipoma in 7 (5.5%), adenoma in 4 (3.1%), xanthogranulomatous pyelonephritis in 3 (2.3%), and metastasis of a malignant melanoma in 1 patient. Two patients (1.6%) required secondary nephrectomy because of postoperative bleeding. After a median follow-up of 34 months (range 2 to 91), no patient had developed local recurrence, one (0.8%) had developed lymph node metastasis, and two (1.6%) had developed distant m...Continue Reading

References

Jan 1, 1976·Nephron·D W Cockcroft, M H Gault
Jan 1, 1986·Radiology·M A Bosniak
Oct 1, 1995·The Journal of Urology·T J PolascikF F Marshall
Nov 17, 2001·Urology·K JeschkeK Henning
Jan 17, 2002·The Journal of Urology·Inderbir S GillAndrew C Novick
May 8, 2002·Der Urologe. Ausg. A·G JanetschekK Leeb
Jun 11, 2003·The Journal of Urology·Inderbir S GillAndrew C Novick

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Citations

Apr 13, 2013·Indian Journal of Nephrology·S ShindeS K Chowdhary
Mar 22, 2014·Wiener klinische Wochenschrift·Ingrid SchauerMarkus Margreiter
Jan 23, 2010·AJR. American Journal of Roentgenology·Kumaresan SandrasegaranAlex M Aisen
Mar 28, 2008·Journal of Endourology·Edward M GongArieh L Shalhav
Apr 9, 2005·Current Opinion in Oncology·W Kimryn RathmellBrian I Rini
Dec 18, 2013·European Radiology·E A LasselH J Michaely
Nov 5, 2013·The Kaohsiung Journal of Medical Sciences·Zhuo LiuShuo Wang
Feb 24, 2009·European Urology·Martin MarszalekStephan Madersbacher
Apr 29, 2006·BJU International·Sara Ramsey, Michael Aitchison
May 3, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Tetsuo FujitaShiro Baba
Apr 29, 2014·Magnetic Resonance in Medical Sciences : MRMS : an Official Journal of Japan Society of Magnetic Resonance in Medicine·Hiroto SasamoriTakehiko Gokan
Jan 20, 2007·BJU International·Andrea MinerviniMarco Carini
Mar 9, 2012·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Erich K LangRichard J Macchia

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