Skip to main content
SpringerLink
Log in

Renal-sparing surgery for renal and transitional cell carcinoma

  • Chapter
Therapy for Genitourinary Cancer

Part of the book series: Cancer Treatment and Research ((CTAR,volume 59))

  • 34 Accesses

Abstract

Renal-sparing surgery for kidney tumors has received considerable attention over the past several years, with some authors suggesting that such procedures may be carried out in patients with a normal contralateral kidney [1]. There are obvious indications for renal-sparing procedures in patients with a solitary kidney or bilateral renal tumors, but with a few minor exceptions such a treatment plan has not been proven safe in patients with a normal opposite kidney. In this chapter I will present the counterevidence to this ultraistic point of view, as well as a discussion of the procedures currently used to to manage bilateral tumors or tumors in a solitary kidney.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Carini M, Selli C, Barbanti G, Lapini A, Turini D, Constantini A: Conservative surgical treatment of renal cell carcinoma: Clinical experience and reappraisal of indications. J Urol 140:725–731, 1988.

    PubMed  CAS  Google Scholar 

  2. Schiff M Jr., Bagley D, Lytton B: Treatment of solitary and bilateral renal carcinomas. J Urol 121:581–583, 1979.

    PubMed  Google Scholar 

  3. Graham S Jr., Glenn JF: Enucleative surgery for renal malignancy. J Urol 122:546–549, 1979.

    PubMed  Google Scholar 

  4. Smith RB, DeKernion JB, Ehrlich RM, Skinner DG, Kaufman JJ: Bilateral renal cell carcinoma and renal cell carcinoma in the solitary kidney. J Urol 132:450–454, 1984.

    PubMed  CAS  Google Scholar 

  5. Zincke H, Sen SE: Experience with extracorporeal surgery and autotransplantation for renal cell and transitional cell cancer of the kidney. J Urol 140:25–27, 1988.

    PubMed  CAS  Google Scholar 

  6. Novick AC, Streem S, Montie JE, Pontes JE, Siegel S, Montague DK, Goormastic M: Conservative surgery for renal cell carcinoma: A single-center experience with 100 patients. J Urol 141:835–839, 1989.

    PubMed  CAS  Google Scholar 

  7. Mukamel E, Konichezky M, Engelstein D, Servadio C: Incidental small renal tumors accompanying clinically overt renal cell carcinoma. J Urol140:22–24, 1988.

    PubMed  CAS  Google Scholar 

  8. Marshall FF, Taxy JB, Fishman EK, Chang R: The feasibility of surgical enucleation for renal cell carcinoma. J Urol 135:231–234, 1986.

    PubMed  CAS  Google Scholar 

  9. Blackley SK, Ladaga L, Woolfitt RA, Schellhammer PF: Ex situ study of the effectiveness of enucleation in patients with renal cell carcinoma. J Urol 140:6–10, 1988.

    PubMed  CAS  Google Scholar 

  10. Morgan WR, Zincke H: Progression and survival after renal-conserving surgery for renal cell carcinoma: Experience in 104 patients and extended followup. J Urol 144:852–858, 1990.

    PubMed  CAS  Google Scholar 

  11. Talamo TS, Shonnard JW: Small renal adenocarcinoma with metastases. J Urol 124: 132–134, 1980.

    PubMed  CAS  Google Scholar 

  12. DeKernion JB, Ramming KP, Smith RB: The natural history of metastatic renal cell carcinoma: A computer analysis. J Urol 120:148–152, 1978.

    PubMed  CAS  Google Scholar 

  13. Takatera H, Maeda O, Oka T, Namiki M, Nakano E, Matsuda M, Arita N, Jamshidi J, Ushio Y, Sonoda T: Solitary late recurrence of renal cell carcinoma. J Urol 136:799–800, 1986.

    PubMed  CAS  Google Scholar 

  14. Ljungberg B, Duchek M, Hietala S, Roos G, Stenling R: Renal cell carcinoma in a solitary kidney:Late nephrectomy after 35 years and analysis of tumor deoxyribonucleic acid content. J Urol 139:350–352, 1988.

    PubMed  CAS  Google Scholar 

  15. Loughlin KR, Gittes RF: Urological management of patients with von Hippel-Lindau’s disease. J Urol 136:789–791, 1986.

    PubMed  CAS  Google Scholar 

  16. Malek RS, Omess PJ, Benson RC Jr., Zincke H: Renal cell carcinoma in von Hippel-Lindau syndrome. Am J Med 82:236–238, 1987.

    Article  PubMed  CAS  Google Scholar 

  17. Spencer WF, Novick AC, Montie JE, Streem SB, Levin HS: Surgical treatment of localized renal cell carcinoma in von Hippel-Lindau’s disease. J Urol139:507–509, 1988.

    PubMed  CAS  Google Scholar 

  18. Calne RY: Tumour in a single kidney: Nephrectomy, excision and autotransplantation. Lancet 2:761, 1971.

    Article  PubMed  CAS  Google Scholar 

  19. Gelin L-E, Claes G, Gustafsson A, Storm B: Total bloodlessness for extracorporeal renal organ repair. Rev Surg 28:305, 1971.

    PubMed  CAS  Google Scholar 

  20. Flatmark A, Sodal G, Jervel J. Brodwall E, Enge I: Preliminary experience with extracorporeal renal surgery and autotransplantation. Eur Surg Res 9:235, 1977.

    Article  PubMed  CAS  Google Scholar 

  21. Gittes RF, McCullough DL: Bench surgery for tumor in a solitary kidney. J Urol113:12, 1975.

    PubMed  CAS  Google Scholar 

  22. McLoughlin MG: The treatment of bilateral synchronous renal pelvic tumors with bench surgery. J Urol 114:463, 1975.

    PubMed  CAS  Google Scholar 

  23. Hollabaugh RS, Cheek RC, Seller KD: A surgical approach to bilateral hypernephroma using “benchwork” excision and autotransplantation. Am Surg 42:411, 1976.

    PubMed  CAS  Google Scholar 

  24. Kimball FN, Ferris HV: Papillomatous tumor of the renal pelvis associated with similar tumors of the ureter and bladder. A review of the literature and report of two cases. J Urol 31:257, 1934.

    Google Scholar 

  25. Gittes RF: Management of transitional cell carcinoma of the upper tract: Case for conservative local excision. Urol Clin North Am 7(3):559–568, 1980.

    CAS  Google Scholar 

  26. Blute ML, Segura JW, Patterson DE, Benson RC Jr., Zincke H: Impact of endourology on diagnosis and management of upper urinary tract urothelial cancer. J Urol 141:1298–1301, 1989.

    PubMed  CAS  Google Scholar 

  27. Smith AD, Orihuela E, Crowley AR: Percutaneous management of renal pelvic tumors: A treatment option in selected cases. J Urol 137:852–856, 1987.

    CAS  Google Scholar 

  28. Huffman JL: Ureteroscopic management of transitional cell carcinoma of the upper urinary tract. Urol Clin North Am15(3):419–424, 1988.

    PubMed  CAS  Google Scholar 

  29. Murphy DM, Zincke H, Furlow WL: Primary grade 1 transitional cell carcinoma of the renal pelvis and ureter. J Urol123:629–631, 1980.

    PubMed  CAS  Google Scholar 

  30. Sternberg CA, Yagoda A, Scher HI, Watson RC, Herr HW, Morse MJ, Sogani RC, Vaughan ED Jr., Bander N, Weiselberg LR, Geller N, Hollander PH, Lipperman R, Fair WR, Whitmore WF Jr.: M-VAC (methotrexate, vinblastine, doxorubicin and cisplatin) for advanced transitional cell carcinoma of the urothelium. J Urol139:461–469, 1988.

    PubMed  CAS  Google Scholar 

  31. Wallace DMA, Wallace DM, Whitfield HN, Hendry WF, Wickham JEA: The late results of conservative surgery for upper tract urothelial carcinomas. Br J Urol53:537–541, 1981.

    Article  PubMed  CAS  Google Scholar 

  32. Ziegelbaum M, Novick AC, Streem SB, Montie JE, Pontes JE, Straffon RA: Conservative surgery for transitional cell carcinoma of the renal pelvis. J Urol 138:1146–1149, 1987.

    PubMed  CAS  Google Scholar 

  33. Faysel MH, Freiha FS: Evaluation of partial cystectomy for carcinoma of bladder. Urology 4(14):352–356, 1979.

    Article  Google Scholar 

  34. Bagley DH: Flexible endoscopy in the urinary tract. Semin Urol 4:198, 1986.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, The Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA

    Russell K. Lawson (Professor and Chairman)

Authors
  1. Russell K. Lawson
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. The Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital, Milwaukee, Wisconsin, USA

    Herbert Lepor  & Russell K. Lawson  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1992 Springer Science+Business Media New York

About this chapter

Cite this chapter

Lawson, R.K. (1992). Renal-sparing surgery for renal and transitional cell carcinoma. In: Lepor, H., Lawson, R.K. (eds) Therapy for Genitourinary Cancer. Cancer Treatment and Research, vol 59. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3502-7_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-3502-7_2

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6553-2

  • Online ISBN: 978-1-4615-3502-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation