title: [Treatment for organ-confined and locally advanced kidney cancer].
abstract: Treatment for organ-confined or locally advanced kidney cancer lies on principles established as from 1969: primary ligation of the vascular pedicle and resection of the tumour and surrounding fatty tissues. The current tendency is towards a decrease in tissue resection volume to preserve renal function, and the use of less invasive techniques, of which laparoscopic surgery, in the process of becoming a first-line therapeutic option, is the cornerstone. New technologies of tissue destruction without resection are currently being validated. Finally, close monitoring of tumours is becoming a competitive option as compared to resection and small-volume lesion destruction.
authors.affiliation: Service d'urologie, hôpital Saint-Louis, Université Paris 7, 75475 Paris 10.
authors.forename: Pierre
authors.initials: P
authors.lastname: Mongiat-Artus
authors.forename: François
authors.initials: F
authors.lastname: Desgranchamps
mesh_terms: D017115:Catheter Ablation; D017679:Cryotherapy; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000628:therapy*; D010535:Laparoscopy; D009392:Nephrectomy