title: The indications for partial nephrectomy in the treatment of renal cell carcinoma.
abstract: Partial nephrectomy is performed more frequently for small, incidentally discovered, low-stage renal tumors. Importantly, one should distinguish the imperative indications for such surgery from the relative and elective indications, while taking contraindications to nephron-sparing surgery into account. The main advantage of partial nephrectomy over radical nephrectomy is the avoidance of renal insufficiency; the major disadvantages include the possibility of local recurrence and perioperative complications. In this article, the literature on nephron-sparing surgery was reviewed in order to put the management of renal cancer into a modern perspective.
authors.affiliation: Department of Urology, University Hospital Gasthuisberg, Leuven, Belgium.
authors.forename: Steven
authors.initials: S
authors.lastname: Joniau
authors.forename: Kathy
authors.initials: K
authors.lastname: Vander Eeckt
authors.forename: Hein
authors.initials: H
authors.lastname: Van Poppel
mesh_terms: D002292:Carcinoma, Renal Cell / Q000150:complications / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology / Q000209:etiology; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods*; D017063:Outcome Assessment, Health Care; D051437:Renal Insufficiency / Q000209:etiology / Q000517:prevention & control