Review Article

Surgical Management of Local Recurrences of Renal Cell Carcinoma

Table 1

Outcomes selected contemporary series of surgical experience in the treatment of localized recurrence of RCC (NR: not reported).

Margulis et al., 2009 [4]Yohannan et al., 2010 [21]El Hajj et al., 2013 [22]Paparel et al., 2014 [16]Russell et al., 2014 [17]Thomas et al., 2015 [18]

Number ()54497222102

Fuhrman grade of primary tumor ()Grade 1, 0
Grade 2, 10
Grade 3, 21
Grade 4, 23
Grade 2, 1
Grade 3, 3
Grade 1, 0
Grade 2, 1
Grade 3, 4
Grade 4, 1
Not reported, 3
Grades 1, 0
Grade 2, 2
Grade 3, 35
Grade 4, 15
Unclassified, 7
NRGrades 1-2, 28
Grades 3-4, 74

T stage of primary tumor ()T1, 10
T2, 11
T3, 33
T4, 0
T1, 1
T2, 2
T3, 1
Tx, 3
T1, 3
T2, 1
T3, 2
T4, 0
Tx, 2
T1, 21
T2, 13
T3, 32
T4, 4
T1, 6
T2, 4
T3, 12
T4, 0
T1, 20
T2, 20
T3, 59
T4, 3

Mean/median age at time of recurrence (yrs.) NR5767NR6255

Mean/median time to recurrence (mos.) 1011.58326.5 ± 3.331.519

Mean/median size of recurrence (cm)65.73.44.7 ± 0.52.64.5

Neoadjuvant therapy ()27NR32346

Surgical approach for recurrence surgery ()OpenLaparoscopicLaparoscopicOpen, 47
Laparoscopic, 1
Open, 21
Laparoscopic, 1
Open, 99
Laparoscopic 3

Mean/median operative time (min.)377.5195144133.2 NR210

Mean/median estimated blood loss (mL)600187.5430427.5 300700

Mean/Median length of hospital stay (day)72.54.5NR57

Positive surgical margin ()NR00NR112

Complications ()Clavien 3 and 4, 8Clavien 1, 1Clavien 1, 3
Claiven 3b, 1
Clavien 2, 2
Clavien 3a, 5
Clavien 3b, 3
Clavien 4, 3
Clavien 3b, 2Clavien 1, 16
Clavien 2, 15
Clavien 3, 12
Clavien 4, 1

Perioperative mortality ()200102

Adjuvant therapy after recurrence surgery ()16NR20Targeted therapy, 2
Radiotherapy, 1
48

Follow-up (months)NR383851.7 ± 4.322.232

Survival dataCancer specific survival: 11 monthsDisease free survival: 75%
Cancer specific survival: 100%
Disease free survival: 67%
Cancer specific survival: 89%
Cancer specific mortality: 39%Median progression free survival: 12.7 monthsMedian progression free survival: 23 months
Median cancer specific survival: 66 months