Conservative Surgery in Solitary and Bilateral Renal carcinoma: Indications and Technical Considerations

Abstract

Patients (7) presented with solitary or bilateral renal carcinoma. All 4 patients treated by partial nephrectomy are well and 3 are free of disease (followup of 24-32 mo.). A survey of similar series reveals a survival of 78% in patients with solitary renal tumors undergoing partial nephrectomy (mean followup of 52 mo.). Since the projected survival in patients undergoing chronic hemodialysis for the same interval is only 65% partial nephrectomy, when technically feasible, would appear to be the treatment of choice in solitary renal carcinoma. In cases involving bilateral lesions the survival rate after partial nephrectomy seems to be similar to that of cases on hemodialysis.