Preoperative Navigation of Nephron-Sparing Surgery
Nephron-sparing surgery has demonstrated satisfactory cancer control and patient satisfaction. Long-term functional advantages are gained by the maximal preservation of normal renal parenchyma. Multiphasic contrast-enhanced CT in combination with 3D volume-rendering CT imaging has become established as the essential imaging modality for preoperative evaluation of NSS, providing sufficient evidence of sensitivity and specificity of RCC, costeffectiveness, and ready accessibility. By having a better understanding of the indications, procedures, complications, and factors affecting patient outcome, radiologists can provide urologists with essential information for the preoperative planning of NSS.
KeywordsRenal Cell Carcinoma Renal Artery Partial Nephrectomy Compute Tomog Excretory Phase
Unable to display preview. Download preview PDF.
- Czerny HE (1890) Ueber Nierenextirpation. Beitr Klin Chir 6:484–486Google Scholar
- Fleischmann D (2003) Renal vessels. In: Bonomo L, Foley DW, Imhof H, Rubin G (eds) Multidetector computed tomography: advances in imaging techniques, 1st edn. Royal Society of Medicine Press Ltd, London, pp 79–89Google Scholar
- Kopka L, Fischer U, Zoeller G et al. (1997) Dual-phase helical CT of the kidney: value of the corticomedullary and nephrographic phase for evaluation of renal lesions and preoperative staging of renal cell carcinoma. Am J Roentgenol 169:1573–1578Google Scholar
- Platt JF, Ellis JH, Korobkin M et al. (1997) Helical CT evaluation of potential kidney donors: findings in 154 subjects. Am J Roentgenol 169:1325–1330Google Scholar
- Sheth S, Scatarige JC, Horton KM et al. (2001) Current concepts in the diagnosis and management of renal cell carcinoma: role of multidetector CT and three-dimensional CT. Radiographics 21:237–254Google Scholar
- Wells S (1884) Successful removal of two solid circumrenal tumours. Br Med J 1:758–767Google Scholar
- Yuh BI, Cohan RH (1999) Different phases of renal enhancement: role in detecting and characterizing renal masses during helical CT. Am J Roentgenol 173:747–755Google Scholar