title: [Nephron-sparing surgery 2012].
abstract: Nephron-sparing surgery is considered to be the standard surgery for small renal masses. There is a large socioeconomic and oncological relevance in such a decision, especially since tumour incidence as well as average life expectancy increases, also triggered by better diagnostic quality. The present review highlights the current state of nephron sparing-surgery, evaluates different surgical approaches and gives perspectives on the future developments and scientific investigations required. In conclusion, nephron-sparing surgery has been well studied and different approaches have shown high safety profiles with oncological results comparable to those of radical nephrectomy. Nephron -sparing surgery provides decisive advantages in long-term survival and patient morbidity, especially concerning chronic renal failure rates. Therefore, whenever feasible, a renal mass should be considered for nephron-sparing surgery.
authors.affiliation: Klinik für Urologie und Kinderurologie, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Janssen
authors.forename: E A
authors.initials: EA
authors.lastname: Treiyer
authors.forename: M
authors.initials: M
authors.lastname: Saar
authors.forename: C-H
authors.initials: CH
authors.lastname: Ohlmann
authors.forename: J
authors.initials: J
authors.lastname: Kamradt
authors.forename: K
authors.initials: K
authors.lastname: Junker
authors.forename: M
authors.initials: M
authors.lastname: Stöckle
authors.forename: S
authors.initials: S
authors.lastname: Siemer
mesh_terms: D019317:Evidence-Based Medicine / Q000592:standards; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality / Q000517:prevention & control; D007677:Kidney Function Tests / Q000592:standards; D007680:Kidney Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods* / Q000592:standards; D009392:Nephrectomy / Q000379:methods* / Q000592:standards; D009399:Nephrons / Q000473:pathology / Q000601:surgery*; D059351:Organ Sparing Treatments / Q000379:methods* / Q000592:standards; D011183:Postoperative Complications / Q000401:mortality / Q000517:prevention & control; D016019:Survival Analysis