Open mini-flank partial nephrectomy: An essential contemporary operation Journal Article

Authors: Russo, P.; Mano, R.
Article Title: Open mini-flank partial nephrectomy: An essential contemporary operation
Abstract: Secondary to the widespread use of the modern imaging techniques of computed tomography, magnetic resonance imaging, and ultrasound, 70% of renal tumors today are detected incidentally with a median tumor size of less than 4 cm. Twenty years ago, all renal tumors, regardless of size were treated with radical nephrectomy (RN). Elective partial nephrectomy (PN) has emerged as the treatment of choice for small renal tumors. The basis of this paradigm shift is three major factors: (1) cancer specific survival is equivalent for T1 tumors (7 cm or less) whether treated by PN or RN; (2) approximately 45% of renal tumors have indolent or benign pathology; and (3) PN prevents or delays the onset of chronic kidney disease, a condition associated with increased cardiovascular morbidity and mortality. Although PN can be technically demanding and associated with potential complications of bleeding, infection, and urinary fistula, the patient derived benefits of this operation far outweigh the risks. We have developed a "mini-flank" open surgical approach that is highly effective and, coupled with rapid recovery postoperative care pathways associated with a 2-day length of hospital stay.
Keywords: nephrectomy; methods; chronic kidney failure
Journal Title: Korean Journal of Urology
Volume: 55
Issue: 9
ISSN: 2005-6737
Publisher: Korean Urological Association  
Date Published: 2014-09-01
Start Page: 557
End Page: 567
Language: English
DOI: 10.4111/kju.2014.55.9.557
PROVIDER: scopus
PMCID: PMC4165917
PUBMED: 25237456
Notes: Export Date: 1 October 2014 -- Source: Scopus
Citation Impact
MSK Authors
  1. Paul Russo
    543 Russo
  2. Roy Mano
    48 Mano