Open Partial Nephrectomy in the Management of Small Renal Masses

Table 1

Open partial nephrectomy indications (table adapted from 12).

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I. Absolute Indications

a. Tumors in a solitary kidney

b. Bilateral synchronous renal masses

c. Severe renal insufficiency

II. Relative Indications

a. Presence of pre-existing renal disease in the contralateral kidney

1. Nephrolithiasis

2. Recurrent pyelonephritis

3. Mild-moderate renal insufficiency

4. Ureteropelvic junction obstruction

5. Vesicoureteral reflux

b. Presence of diseases predisposing to renal insufficiency

1. Diabetes

2. Hypertension

c. Patients with known multifocal disease or underlying genetic syndromes

1. Papillary RCC

2. Von Hippel-Lindau disease

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