title: [Imperative nephron-sparing surgery for cases of solitary kidney/bilateral tumors: long-term results].
abstract: Renal cell carcinoma is the most lethal amongst urological malignancies. Only surgical excision of the tumor offers the chance of curative therapy for patients with localized disease. Nephron-sparing surgery is mandatory for patients with renal tumors in both kidneys or in a solitary kidney in order to preserve renal function (imperative indication). Evaluation of patients with renal tumors in both kidneys or in a solitary kidney must weigh the surgical and oncological risks of nephron-sparing surgery against the morbidity of radical nephrectomy followed by hemodialysis and possibly renal transplantation. Herein we report our oncological and functional long-term results of nephron-sparing surgery in patients with an imperative indication and review the literature.
authors.affiliation: Klinik und Poliklinik für Urologie, Johannes-Gutenberg-Universität, Langenbeckstrasse 1, 55101 Mainz, Deutschland. frederik.roos@gmx.de
authors.forename: F C
authors.initials: FC
authors.lastname: Roos
authors.forename: S
authors.initials: S
authors.lastname: Pahernik
authors.forename: A
authors.initials: A
authors.lastname: Elsässer
authors.forename: A
authors.initials: A
authors.lastname: Victor
authors.forename: W
authors.initials: W
authors.lastname: Brenner
authors.forename: J W
authors.initials: JW
authors.lastname: Thüroff
mesh_terms: D002292:Carcinoma, Renal Cell / Q000401:mortality* / Q000601:surgery*; D006801:Humans; D015994:Incidence; D007680:Kidney Neoplasms / Q000401:mortality* / Q000601:surgery*; D008137:Longitudinal Studies; D009364:Neoplasm Recurrence, Local / Q000401:mortality* / Q000517:prevention & control*; D009392:Nephrectomy / Q000401:mortality*; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D016019:Survival Analysis; D015996:Survival Rate