title: Current Status of Partial Nephrectomy in the Management of Kidney Cancer.
abstract: BACKGROUND: The technique of partial nephrectomy for managing renal cancers is well recognized, but guidelines regarding indications for its use are not generally accepted. METHODS: The authors review the indications for partial nephrectomy in various clinical situations, and they include their own experience to clarify the utility of the technique. RESULTS: Intraoperative renal ultrasound and helical computed tomography can assist the surgeon in technical decisions. Partial nephrectomy is considered when nephrectomy would render the patient anephric and dependent on dialysis. CONCLUSIONS: The technical and operative advances in partial nephrectomy make the approach increasingly attractive for patients with kidney cancer in a variety of clinical circumstances.
authors.affiliation: Department of Urology, University of California Los Angeles School of Medicine, California 90095, USA.
authors.lastname: van Ophoven A
authors.initials: KH
authors.lastname: Tsui
authors.initials: O
authors.lastname: Shvarts
authors.initials: S
authors.lastname: Laifer-Narin
authors.initials: AS
authors.lastname: Belldegrun