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Advances in Urology
Volume 2008, Article ID 309760, 7 pages
http://dx.doi.org/10.1155/2008/309760
Review Article

Open Partial Nephrectomy in the Management of Small Renal Masses

1Department of Urology, Faculty of Medicine, Dokuz Eylul University, 35340 Izmir, Turkey
21st Urology Clinic, Ankara Ataturk Training and Research Hospital, 06520 Ankara, Turkey

Received 14 February 2008; Accepted 23 April 2008

Academic Editor: J. Rubio

Copyright © 2008 Ziya Kirkali and A. Erdem Canda. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Most of the kidney masses are being detected incidentally with smaller size due to widespread use of imaging modalities leading to increased RCC incidence worldwide with an earlier stage. This article reviews the role of open partial nephrectomy (PN) in the management of small renal masses. Material and Methods. Review of the English literature using MEDLINE has been performed between 1963–2008 on small renal masses, partial nephrectomy, kidney cancer, nephron sparing surgery (NSS), radical nephrectomy, laparoscopy, and surgical management. Special emphasis was given on the indications of NSS, oncological outcomes and comparison with open and laparoscopic PN. Results. Overall 68 articles including 31 review papers, 35 human clinical papers, 1 book chapter, and 1 animal research study were selected for the purpose of this article and were reviewed by the authors. Conclusions. Currently, open NSS still remains as the gold standard surgical treatment modality in patients with small renal masses.