Surgical Treatment of Completely Endophytic Renal Tumor: a Systematic Review
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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.
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.
KeywordsEndophytic 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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