title: Choice of operation for clinically localized renal tumor.
abstract: The cornerstone of treatment for localized renal tumors is surgical excision, which until recently was accomplished primarily through radical nephrectomy. The last 2 decades have seen a rapid evolution in the surgical management of renal cell carcinoma, marked by the increased use of nephron-sparing surgery and the application of minimally invasive techniques. A plethora of surgical options now are available. This article discusses the optimal surgical approach to renal tumors in various clinical scenarios. In all these discussions we assume that a proactive approach to treatment is indicated and desired, recognizing that active surveillance is always an additional option to consider in certain subpopulations such as the elderly or infirm.
authors.affiliation: Glickman Urological & Kidney Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue A100, Cleveland, OH 44195, USA.
authors.forename: Carvell T
authors.initials: CT
authors.lastname: Nguyen
authors.forename: Steven C
authors.initials: SC
authors.lastname: Campbell
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Novick
mesh_terms: D002292:Carcinoma, Renal Cell / Q000473:pathology / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods; D018572:Disease-Free Survival; D017558:Elective Surgical Procedures; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D018231:Leiomyomatosis / Q000601:surgery; D009367:Neoplasm Staging; D009386:Neoplastic Syndromes, Hereditary / Q000601:surgery; D009392:Nephrectomy / Q000379:methods*; D006623:von Hippel-Lindau Disease / Q000601:surgery