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Title: Open partial nephrectomy: current review.
Austin Authors: O'Connor, Ellen ;Timm, Brennan ;Lawrentschuk, Nathan;Ischia, Joseph J 
Affiliation: Department of Urology, The Royal Melbourne Hospital, Melbourne, Australia
Department of Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
North Eastern Urology, Heidelberg, Australia
Surgery (University of Melbourne)
Issue Date: Dec-2020 2020-12
Publication information: Translational Andrology and Urology 2020; 9(6): 3149-3159
Abstract: Partial nephrectomy (PN) is increasingly considered the gold standard treatment for localized renal cell carcinomas (RCCs) where technically feasible. The advantage of nephron-sparing surgery lies in preservation of parenchyma and hence renal function. However, this advantage is counterbalanced with increased surgical risk. In recent years with the popularization of minimally invasive partial nephrectomy (laparoscopic and robotic), the contemporary role of open PN (OPN) has changed. OPN has several advantages, particularly in complex patients such as those with a solitary kidney, multi-focal tumors, and significant surgical history, as well as providing improved application of renoprotective measures. As such, it is a technique that remains relevant in current urology practice. In this article we discuss the evidence, indications, operative considerations and surgical technique, along with the role of OPN in contemporary nephron-sparing surgery.
DOI: 10.21037/tau-20-474
PubMed URL: 33457287
ISSN: 2223-4691
Type: Journal Article
Subjects: Renal neoplasm
minimally invasive surgical procedures
organ preservation
urological surgical procedures
Appears in Collections:Journal articles

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