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Minimally Invasive Partial Nephrectomy and Ablative Procedures for Small Renal Masses

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Renal Cancer

Abstract

Increased utilization of cross-sectional imaging has resulted in an increased incidence of small renal masses (SRMs). In turn, nephron-sparing techniques such as laparoscopy and ablation have been employed to reduce the morbidity of the traditional open nephrectomy. Most prominently, laparoscopic partial nephrectomy is now considered the gold standard treatment for SRMs <4 cm. Laparoscopic surgery itself is utilized in robotic surgery. Techniques in patient positioning, access selection, hilar clamping, and tumor resection vary from surgeon to surgeon. Complications such as pseudoaneurysms and urine leaks remain postoperative risks despite improvement in technique. Other treatment modalities such as ablative therapy are beginning to gain ground but have not become the mainstream treatments. Furthermore, the use of renal mass biopsy may shape future guidelines for personalized SRM management. Finally, future developments in imaging technology may facilitate the identification and isolation of the safest surgical approach to an SRM.

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Authors and Affiliations

  1. Department of Urology, Boston University School of Medicine, Boston, MA, USA

    Shanta T. Shepherd, Egor Parkhomenko & David S. Wang

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  1. Shanta T. Shepherd
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  2. Egor Parkhomenko
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Correspondence to Shanta T. Shepherd .

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Editors and Affiliations

  1. Professor of Urology, Tufts University School of Medicine, Boston, MA, USA

    John A. Libertino

  2. Associate Professor of Urology, Tufts University School of Medicine, Boston, MA, USA

    Jason R. Gee

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Shepherd, S.T., Parkhomenko, E., Wang, D.S. (2020). Minimally Invasive Partial Nephrectomy and Ablative Procedures for Small Renal Masses. In: Libertino, J., Gee, J. (eds) Renal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-24378-4_14

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