Long-Term Results Following Partial Nephrectomy for Localized Renal Adenocarcinoma

Abstract

From 1956-1980 partial nephrectomy was done on 23 patients with localized renal carcinoma occurring bilaterally or in a solitary functioning kidney. The mean postoperative follow-up was 5.4 yr, and the 5 yr patient survival rates considering death of renal cancer only, or of any cause, were 70.2 and 59.6%, respectively. Survival was diminished in patients with bilateral asynchronous renal carcinoma. Renal carcinoma recurred postoperatively in 6 patients (26%) including 3 (13%) with local recurrence in the renal remnant. Currently, 12 patients (52%) are alive with stable function and no evidence of malignancy. These long-term data support the efficacy of partial nephrectomy for selected patients with renal carcinoma.