title: Nephron sparing surgery in a tertiary care center in Nepal--an initial experience.
abstract: BACKGROUND
  Malignant renal mass accounts for 2 to 3% of all malignant diseases in adults. Radical surgery used to be the treatment of choice with high propensity to develop chronic kidney disease in the compromised contralateral kidney. Currently, nephron sparing surgery is considered to be the standard of care with equivalent oncological outcome.
  
  
  METHODS
  This was a retrospective chart review of patients with renal mass less than seven cm in size who had open nephron sparing surgery from July 2012 to Sep 2013 at Tribhuvan university teaching hospital, Nepal. Latest follow up either from record or over telephone was documented.
  
  
  RESULTS
  Eight patients (mean age 45 years, male: female ratio1:1.6) underwent nephron sparing surgery over the specified period. Mean size of tumor was 4.75 cm. Mean ischemia time was 16.37 min. Histopathological diagnosis was benign in two and renal cell carcinoma in six patients.
  
  
  CONCLUSIONS
  Nephron sparing surgery is safe in low stage renal tumors. It also prevents unnecessary nephrectomy in benign lesions and prevents negative sequelae of long term chronic renal impairment in remaining contralateral kidney.
authors.affiliation: Urology unit, Department of Surgery, Tribhuvan University Teaching Hospital, Nepal.
authors.forename: D K
authors.initials: DK
authors.lastname: Gupta
authors.affiliation: Urology unit, Department of Surgery, Tribhuvan University Teaching Hospital, Nepal.
authors.forename: B R
authors.initials: BR
authors.lastname: Luitel
authors.affiliation: Urology unit, Department of Surgery, Tribhuvan University Teaching Hospital, Nepal.
authors.forename: P R
authors.initials: PR
authors.lastname: Chalise
authors.affiliation: Urology unit, Department of Surgery, Tribhuvan University Teaching Hospital, Nepal.
authors.forename: S
authors.initials: S
authors.lastname: Chapagain
authors.affiliation: Urology unit, Department of Surgery, Tribhuvan University Teaching Hospital, Nepal.
authors.forename: P
authors.initials: P
authors.lastname: Subedi
authors.affiliation: Urology unit, Department of Surgery, Tribhuvan University Teaching Hospital, Nepal.
authors.forename: D K
authors.initials: DK
authors.lastname: Thakur
authors.affiliation: Urology unit, Department of Surgery, Tribhuvan University Teaching Hospital, Nepal.
authors.forename: U K
authors.initials: UK
authors.lastname: Sharma
authors.affiliation: Urology unit, Department of Surgery, Tribhuvan University Teaching Hospital, Nepal.
authors.forename: P R
authors.initials: PR
authors.lastname: Gyawali
authors.affiliation: Urology unit, Department of Surgery, Tribhuvan University Teaching Hospital, Nepal.
authors.forename: G K
authors.initials: GK
authors.lastname: Shrestha
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000503:physiopathology; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000473:pathology; D007680:Kidney Neoplasms / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009390:Nepal; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*