Re: Editorial Comment from Dr Bertolo et al . to Partial nephrectomy preserves renal function without increasing the risk of complications compared with radical nephrectomy for renal cell carcinomas of stages pT2–3a

Bilateral renal tumors remain relatively uncommon, accounting for 1-5% of patients with renal cell carcinoma. Most sporadic renal cell carcinomas are unilateral and unifocal. Bilateral involvement can be synchronous or asynchronous and is found in 2-4% of sporadic renal cell carcinomas. We report a case of 70 years old male who was incidentally found to have bilateral renal masses. Right sided radical nephrectomy and left partial nephrectomy was performed. Histopathological examination of the specimen revealed clear cell carcinoma and confirmed R0 resection. The patient was discharged on 7th postoperative day.

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Editorial Comment: Role of preoperative MR volumetry in patients with renal cell carcinoma for prediction of postoperative renal function after radical nephrectomy and nephron sparing surgery

International braz j urol ◽

10.1590/s1677-5538.ibju.2019.0217.1 ◽

2020 ◽

Vol 46 (2) ◽

pp. 242-243

Author(s):

Luciano A. Favorito

Keyword(s):

Renal Cell Carcinoma ◽

Renal Function ◽

Editorial Comment ◽

Cell Carcinoma ◽

Renal Cell ◽

Radical Nephrectomy ◽

Postoperative Renal Function ◽

Nephron Sparing ◽

Mr Volumetry

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Renal function after nephron-sparing surgery versus radical nephrectomy in localized renal cell carcinoma (T1)

Insight Urology ◽

10.52786/j.1 ◽

2020 ◽

Vol 41 (2) ◽

pp. 1-8

Author(s):

Siros Jitpraphai ◽

Chaiyong Nualyong ◽

Tawatchai Taweemonkongsap ◽

Sittiporn Srinualnad ◽

Teerapon Amornwesukit ◽

...

Keyword(s):

Renal Cell Carcinoma ◽

Renal Function ◽

Cell Carcinoma ◽

Partial Nephrectomy ◽

Recurrence Rate ◽

Renal Cell ◽

Radical Nephrectomy ◽

Tumor Recurrence ◽

Tumor Recurrence Rate

Objective: To evaluate renal function (GFR) after radical nephrectomy compared to partial nephrectomy in stage T1 renal cell carcinoma patients between 2005 and 2015. Material and Method: Retrospective chart review of 409 patients who were diagnosed with renal cell carcinoma (T1) and treated with radical nephrectomy (RN) or partial nephrectomy (PN) between 2005 and 2015 (RN=136, PN=92); 228 patients with pathologically confirmed pT1 remained for analysis and were then evaluated for their estimated glomerular filtration rate (eGFR) after the surgery. Results: There were a total of 228 (149 males and 79 females) T1 RCC patients; 136 patients were T1a with RN (57.8%) and 92 with PN (42.2%). Median follow-up was 58 months and 35 months for the RN and PN groups. From the analysis, post-operative eGFR of the RN group was decreased from 77.49 to 59.61 ml/min/1.73m2 and the PN group was decreased from 78.85 to 69.9 ml/min/1.73m2. The comparative eGFR between the 2 groups at 1 month had a significant difference (p-value<0.05). eGFR at 3 months (50.24 in RN vs 64.67 in PN), 6 months (47.98 vs 64.51), 3 years (48.79 vs 67.22) and 5 years (52.63 vs 73.59) were also significantly altered between the 2 groups. The tumor recurrence rate was not significantly different between RN and PN. Conclusion: We found that patients treated with PN had superior post-operative renal function compared with RN. However, there was no difference in the tumor recurrence rate between the 2 groups after a follow-up of 10 years.

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Comparison of Renal Function after Partial Nephrectomy and Radical Nephrectomy for Renal Cell Carcinoma

Urologia Internationalis ◽

10.1159/000339969 ◽

2012 ◽

Vol 89 (2) ◽

pp. 227-232 ◽

Cited By ~ 11

Author(s):

Katsutoshi Miyamoto ◽

Shogo Inoue ◽

Mitsuru Kajiwara ◽

Jun Teishima ◽

Akio Matsubara

Keyword(s):

Renal Cell Carcinoma ◽

Renal Function ◽

Cell Carcinoma ◽

Partial Nephrectomy ◽

Renal Cell ◽

Radical Nephrectomy

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