Current Urology Reports

, 20:3 | Cite as

Surgical Treatment of Completely Endophytic Renal Tumor: a Systematic Review

  • Javier Perez-Ardavin
  • Jose Vicente Sanchez-Gonzalez
  • Manuel Martinez-Sarmiento
  • Juan Jose Monserrat-Monfort
  • Jorge García-Olaverri
  • Francisco Boronat-Tormo
  • César D. Vera-DonosoEmail author
Kidney Diseases (G Ciancio, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Kidney Diseases


Purpose of Review

An endophytic renal tumor represents a special surgical challenge in terms of location and safe removal. For this reason we wanted to review the existing literature on this subject.

Recent Findings

In high-activity robotic centers, robot-assisted partial nephrectomy (RAPN) is a safe and efficacious surgical approach for completely endophytic renal tumors. As research innovation, the application of the radio-guided occult lesion localization technique (ROLL) facilitates the location and complete excision of the tumor during surgery.


There are few studies that specifically report the experience with completely endophytic renal tumors. The endophytic tumor is usually smaller than exophytic. Frequently it represents a high complexity value in the different Score systems reported in the last decade. This surgery should be performed by experienced urologists regardless of the surgical approach they prefer (open, laparoscopic, or robotic). It is necessary to develop new techniques for intraoperative easy localization and intraoperative evaluation of surgical margins.


Endophytic tumor Intraparenchymal tumor Open partial nephrectomy Renal tumor Surgical treatment Robotic partial nephrectomy Laparoscopic partial nephrectomy 


Compliance with Ethical Standards

Conflict of Interest

Javier Perez-Ardavin, Jose Vicente Sanchez-Gonzalez, Manuel Martinez-Sarmiento, Juan Jose Monserrat-Monfort, Jorge García-Olaverri, Francisco Boronat-Tormo, and César D. Vera-Donoso each declare no potential conflicts of interest.

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.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Javier Perez-Ardavin
    • 1
  • Jose Vicente Sanchez-Gonzalez
    • 1
  • Manuel Martinez-Sarmiento
    • 1
  • Juan Jose Monserrat-Monfort
    • 1
  • Jorge García-Olaverri
    • 2
  • Francisco Boronat-Tormo
    • 1
  • César D. Vera-Donoso
    • 1
    Email author
  1. 1.Department of UrologyLa Fe HospitalValenciaSpain
  2. 2.Department of UrologyHospital de CrucesBaracaldoSpain

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