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Trends in Surgical Management of T1 Renal Cell Carcinoma

  • Kidney Diseases (G Ciancio, Section Editor)
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Abstract

Historically, open radical nephrectomy (ORN) represented the standard of care for localized renal cell carcinoma (RCC). While the incidence of T1 RCC is rising, treatment options are developing fast and the standard of care according to European and American guidelines has changed to partial nephrectomy (PN), or laparoscopic radical nephrectomy in patients not suitable for PN. To assess the implementation of guideline recommendations and to profile recent surgical and technical innovations, we reviewed the current literature. We observed that ORN still represents the most commonly used treatment in T1 RCC patients. Utilization of PN increased over time but implementation is still in progress. Whereas PN is frequently used in tertiary care centers, population-based studies suggest discrepancies in the diffusion of standard of care treatments. Alternative minimally invasive approaches for PN are available but their superiority is not yet proven. Further efforts in improving the training of urologic surgeons are required to continue the implementation of guideline recommendations.

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Conflict of Interest

Dr. Jonas Schiffmann, Dr. Marco Bianchi, Dr. Maxine Sun, and Dr. Andreas Becker each declare no potential conflicts of interest relevant to this article.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Martini-Clinic, Prostate Cancer Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

    Jonas Schiffmann

  2. Cancer Prognostics and Health Outcomes Unit, University of Montreal Health Centre, Montreal, Canada

    Jonas Schiffmann, Maxine Sun & Andreas Becker

  3. Department of Urology, Vita Salute San Rafaele University, Milan, Italy

    Marco Bianchi

  4. Department of Urology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany

    Andreas Becker

Authors
  1. Jonas Schiffmann
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  2. Marco Bianchi
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  3. Maxine Sun
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  4. Andreas Becker
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Corresponding author

Correspondence to Andreas Becker.

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This article is part of the Topical Collection on Kidney Diseases

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Schiffmann, J., Bianchi, M., Sun, M. et al. Trends in Surgical Management of T1 Renal Cell Carcinoma. Curr Urol Rep 15, 383 (2014). https://doi.org/10.1007/s11934-013-0383-0

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  • DOI: https://doi.org/10.1007/s11934-013-0383-0

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