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  • Title: Choice of operation for clinically localized renal tumor.
    Author: Nguyen CT, Campbell SC, Novick AC.
    Journal: Urol Clin North Am; 2008 Nov; 35(4):645-55; vii. PubMed ID: 18992618.
    Abstract:
    The cornerstone of treatment for localized renal tumors is surgical excision, which until recently was accomplished primarily through radical nephrectomy. The last 2 decades have seen a rapid evolution in the surgical management of renal cell carcinoma, marked by the increased use of nephron-sparing surgery and the application of minimally invasive techniques. A plethora of surgical options now are available. This article discusses the optimal surgical approach to renal tumors in various clinical scenarios. In all these discussions we assume that a proactive approach to treatment is indicated and desired, recognizing that active surveillance is always an additional option to consider in certain subpopulations such as the elderly or infirm.
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