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Minimally Invasive Partial Nephrectomy and Ablative Procedures for Small Renal Masses

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Abstract

Partial nephrectomy is the standard technique for treatment of small renal masses (SRMs) ≤4 cm (Guideline for management of the clinical stage 1 renal mass. American Urological Association Research and Education; 2009). Minimally invasive (laparoscopic and robotic assisted) partial nephrectomy (MIPN) is gaining momentum. Studies have demonstrated similar oncologic and functional outcomes between open and MIPN (Lane BR, Gill IS. 7-Year oncological outcomes after laparoscopic and open partial nephrectomy. J Urol. Elsevier Inc. 2010; 183(2):473–9.). The clinical benefits of laparoscopy in renal surgery, including shorter hospital time, faster convalescence, and reduced narcotic pain medication requirements postoperatively, make MIPN an attractive option in patients with SRMs (Dunn MD, Portis AJ, Shalhav AL, Elbahnasy AM, Heidorn C, McDougall EM, et al. Laparoscopic versus open radical nephrectomy: a 9-year experience. J Urol. 2000; 164(4):1153–9, Gill IS, Kavoussi LR, Lane BR, Blute ML, Babineau D, Colombo JR Jr., et al. Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. J Urol. 2007; 178(1):41–6). In this chapter, we describe the techniques for laparoscopic partial nephrectomy (LPN) and robotic-assisted laparoscopic partial nephrectomy (RALPN) and postoperative management and provide an overview of intra- and postoperative complications. A contemporary review of minimally invasive ablative therapies, including cryoablation and radiofrequency ablation, is also presented.

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  1. Institute of Urology, Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA, 01803, USA

    Casey G. Kowalik M.D., David Canes M.D. & Ali Moinzadeh M.D.

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    John A Libertino

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Kowalik, C.G., Canes, D., Moinzadeh, A. (2013). Minimally Invasive Partial Nephrectomy and Ablative Procedures for Small Renal Masses. In: Libertino, J. (eds) Renal Cancer. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7236-0_14

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