title: [Benefits of ultrasonography in kidney and testicular-sparing surgery].
abstract: Renal and testicular cancers account for 4% and 1% of all malignancies, respectively. Their prevalence has increased over the past years and is related to the widespread use of medical imaging and the incidental findings of small asymptomatic tumors on computed tomography scanners and ultrasounds examinations. The urologist faces the dilemma of overtreating benign asymptomatic lesions with radical surgery. Therefore, organ-sparing surgery was developed. Recent studies have shown that recurrence rates are often similar between organ-sparing and radical surgery for small kidney or testicular tumors. However, the risk of positive surgical margins consecutive to organ-sparing surgery remains a matter of debate. This article discusses the role of ex-vivo peroperative ultrasonography in predicting negative surgical margins during kidney- and testicular-sparing surgery.
authors.affiliation: Service d'urologie, CHUV, 1011 Lausanne. yannick.cerantola@chuv.ch
authors.forename: Yannick
authors.initials: Y
authors.lastname: Cerantola
authors.forename: Laurent
authors.initials: L
authors.lastname: Vaucher
authors.forename: Arnaud
authors.initials: A
authors.lastname: Doerfler
authors.forename: Jean-Yves
authors.initials: JY
authors.lastname: Meuwly
authors.forename: Patrice
authors.initials: P
authors.lastname: Jichlinski
mesh_terms: D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D009392:Nephrectomy; D009919:Orchiectomy; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D014463:Ultrasonography