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Simple enucleation is equivalent to traditional partial nephrectomy for renal cell carcinoma: results of a nonrandomized, retrospective, comparative study

Leonardo Oliveira Reis
- 01 Apr 2011 - 
- Vol. 37, Iss: 2, pp 284-285
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This article is published in International Braz J Urol.The article was published on 2011-04-01 and is currently open access. It has received 40 citations till now. The article focuses on the topics: Nephrectomy & Enucleation.

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Citations
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Indications, techniques, outcomes, and limitations for minimally ischemic and off-clamp partial nephrectomy: a systematic review of the literature.

TL;DR: Minimally ischemic and off-clamp PN are established procedures that may be particularly applicable for patients with decreased baseline RF, however, these techniques are technically demanding, with potential for increased blood loss, and require considerable experience with PN surgery.
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Robotic Unclamped “Minimal-margin” Partial Nephrectomy: Ongoing Refinement of the Anatomic Zero-ischemia Concept

TL;DR: An anatomically based technique of robotic, completely unclamped, minimal-margin PN is developed and may offer renal functional advantage but requires long-term follow-up and validation at other institutions.
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The Surgical Approach to Multifocal Renal Cancers: Hereditary Syndromes, Ipsilateral Multifocality, and Bilateral Tumors

TL;DR: Treating physicians must be familiar with enucleative surgery, complex or multiple tumor partial nephrectomy, complex renal reconstruction, re-operative renal surgery, and active surveillance strategies to understand the hereditary syndromes and the genetic testing available.
References
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Journal ArticleDOI

Chronic kidney disease after nephrectomy in patients with renal cortical tumours: a retrospective cohort study.

TL;DR: Radical nephrectomy is a significant risk factor for the development of chronic kidney disease and might no longer be regarded as the gold standard treatment for small, renal cortical tumours.
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Rising Incidence of Small Renal Masses: A Need to Reassess Treatment Effect

TL;DR: The results demonstrate that the rising incidence of kidney cancer is largely attributable to an increase in small renal masses that are presumably curable, and argues for a reassessment of the current treatment paradigm.
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Partial Nephrectomy Versus Radical Nephrectomy in Patients With Small Renal Tumors—Is There a Difference in Mortality and Cardiovascular Outcomes?

TL;DR: Radical nephrectomy, which is currently the most common treatment for small renal tumors, may be associated with significant, adverse treatment effects compared with partial neph rectomy.
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Positive surgical margin appears to have negligible impact on survival of renal cell carcinomas treated by nephron-sparing surgery.

TL;DR: PSM status occurs more frequently in cases in which surgery is imperative and is associated with an increased risk of recurrence, but PSM status does not appear to influence cancer-specific survival.