Skip to main content
Erschienen in: Current Urology Reports 1/2019

01.01.2019 | Kidney Diseases (G Ciancio, Section Editor)

Surgical Treatment of Completely Endophytic Renal Tumor: a Systematic Review

verfasst von: Javier Perez-Ardavin, Jose Vicente Sanchez-Gonzalez, Manuel Martinez-Sarmiento, Juan Jose Monserrat-Monfort, Jorge García-Olaverri, Francisco Boronat-Tormo, César D. Vera-Donoso

Erschienen in: Current Urology Reports | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

An endophytic renal tumor represents a special surgical challenge in terms of location and safe removal. For this reason we wanted to review the existing literature on this subject.

Recent Findings

In high-activity robotic centers, robot-assisted partial nephrectomy (RAPN) is a safe and efficacious surgical approach for completely endophytic renal tumors. As research innovation, the application of the radio-guided occult lesion localization technique (ROLL) facilitates the location and complete excision of the tumor during surgery.

Summary

There are few studies that specifically report the experience with completely endophytic renal tumors. The endophytic tumor is usually smaller than exophytic. Frequently it represents a high complexity value in the different Score systems reported in the last decade. This surgery should be performed by experienced urologists regardless of the surgical approach they prefer (open, laparoscopic, or robotic). It is necessary to develop new techniques for intraoperative easy localization and intraoperative evaluation of surgical margins.
Literatur
7.
Zurück zum Zitat Novick AC, Streem S, Montie JE, Pontes JE, Siegel S, Montague DK, et al. Conservative surgery for renal cell carcinoma: a single-center experience with 100 patients. J Urol. 1989;141(4):835–9.CrossRef Novick AC, Streem S, Montie JE, Pontes JE, Siegel S, Montague DK, et al. Conservative surgery for renal cell carcinoma: a single-center experience with 100 patients. J Urol. 1989;141(4):835–9.CrossRef
8.
Zurück zum Zitat •• Kara O, Maurice MJ, Malkoc E, Ramirez D, Nelson RJ, Caputo PA, et al. Comparison of robot-assisted and open partial nephrectomy for completely endophytic renal tumours: a single centre experience. BJU Int. 2016;118(6):946–51. https://doi.org/10.1111/bju.13572 A big series showing similar results of open and robotic partial nephrectomy in endophytic tumors.CrossRefPubMed •• Kara O, Maurice MJ, Malkoc E, Ramirez D, Nelson RJ, Caputo PA, et al. Comparison of robot-assisted and open partial nephrectomy for completely endophytic renal tumours: a single centre experience. BJU Int. 2016;118(6):946–51. https://​doi.​org/​10.​1111/​bju.​13572 A big series showing similar results of open and robotic partial nephrectomy in endophytic tumors.CrossRefPubMed
9.
Zurück zum Zitat • Autorino R, Khalifeh A, Laydner H, Samarasekera D, Rizkala E, Eyraud R, et al. Robot-assisted partial nephrectomy (RAPN) for completely endophytic renal masses: a single institution experience. BJU Int. 2014;113(5):762–8. https://doi.org/10.1111/bju.12455 First report of RAPN for endophytic renal tumors with an important number of patients.CrossRefPubMed • Autorino R, Khalifeh A, Laydner H, Samarasekera D, Rizkala E, Eyraud R, et al. Robot-assisted partial nephrectomy (RAPN) for completely endophytic renal masses: a single institution experience. BJU Int. 2014;113(5):762–8. https://​doi.​org/​10.​1111/​bju.​12455 First report of RAPN for endophytic renal tumors with an important number of patients.CrossRefPubMed
12.
Zurück zum Zitat •• Harke NN, Mandel P, Witt JH, Wagner C, Panic A, Boy A, et al. Are there limits of robotic partial nephrectomy? TRIFECTA outcomes of open and robotic partial nephrectomy for completely endophytic renal tumors. J Surg Oncol. 2018;118(1):206–11. https://doi.org/10.1002/jso.25103 A big cohort encouraging open or robotic partial nephrectomy in endophytic tumors achieving good TRIFECTA criteria.CrossRefPubMed •• Harke NN, Mandel P, Witt JH, Wagner C, Panic A, Boy A, et al. Are there limits of robotic partial nephrectomy? TRIFECTA outcomes of open and robotic partial nephrectomy for completely endophytic renal tumors. J Surg Oncol. 2018;118(1):206–11. https://​doi.​org/​10.​1002/​jso.​25103 A big cohort encouraging open or robotic partial nephrectomy in endophytic tumors achieving good TRIFECTA criteria.CrossRefPubMed
16.
Zurück zum Zitat Weight CJ, Lane BR, Gill IS. Laparoscopic partial nephrectomy for selected central tumours: omitting the bolster. BJU Int. 2007;100(2):375–8.CrossRef Weight CJ, Lane BR, Gill IS. Laparoscopic partial nephrectomy for selected central tumours: omitting the bolster. BJU Int. 2007;100(2):375–8.CrossRef
17.
Zurück zum Zitat Dall'Oglio MF, Ballarotti L, Passerotti CC, Paluello DV, Colombo JR Jr, Crippa A, et al. Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors. Int Braz J Urol. 2012;38(3):356–61.CrossRef Dall'Oglio MF, Ballarotti L, Passerotti CC, Paluello DV, Colombo JR Jr, Crippa A, et al. Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors. Int Braz J Urol. 2012;38(3):356–61.CrossRef
19.
Zurück zum Zitat Mullerad M, Kastin A, Adusumilli PS, Moskovitz B, Sabo E, Nativ O. Comparison of nephron-sparing surgery in central versus peripheral renal tumors. Urology. 2005;65(3):467–72.CrossRef Mullerad M, Kastin A, Adusumilli PS, Moskovitz B, Sabo E, Nativ O. Comparison of nephron-sparing surgery in central versus peripheral renal tumors. Urology. 2005;65(3):467–72.CrossRef
20.
Zurück zum Zitat Black P, Filipas D, Fichtner J, Hohenfellner R, Thüroff JW. Nephron sparing surgery for central renal tumors: experience with 33 cases. J Urol. 2000;163(3):737–43.CrossRef Black P, Filipas D, Fichtner J, Hohenfellner R, Thüroff JW. Nephron sparing surgery for central renal tumors: experience with 33 cases. J Urol. 2000;163(3):737–43.CrossRef
Metadaten
Titel
Surgical Treatment of Completely Endophytic Renal Tumor: a Systematic Review
verfasst von
Javier Perez-Ardavin
Jose Vicente Sanchez-Gonzalez
Manuel Martinez-Sarmiento
Juan Jose Monserrat-Monfort
Jorge García-Olaverri
Francisco Boronat-Tormo
César D. Vera-Donoso
Publikationsdatum
01.01.2019
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 1/2019
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-019-0864-x

Weitere Artikel der Ausgabe 1/2019

Current Urology Reports 1/2019 Zur Ausgabe

Kidney Diseases (G Ciancio, Section Editor)

Renal Medullary Carcinoma: a Report of the Current Literature

Kidney Diseases (G Ciancio, Section Editor)

Vascular Injury During Urologic Surgery: Somebody Call My Mother

Kidney Diseases (G Ciancio, Section Editor)

Imaging of Unusual Renal Tumors

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.