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  • Title: Nephron sparing surgery for renal cell carcinoma in von Hippel-Lindau disease.
    Author: Shinohara N, Nonomura K, Harabayashi T, Togashi M, Nagamori S, Koyanagi T.
    Journal: J Urol; 1995 Dec; 154(6):2016-9. PubMed ID: 7500447.
    Abstract:
    PURPOSE: We evaluated the technical feasibility and followup outcomes of a nephron sparing operation for localized renal cell carcinoma and von Hippel-Lindau disease. MATERIALS AND METHODS: Our 5 patients underwent initial nephron sparing surgery followed by serial computerized tomography. RESULTS: All but 1 renal lesion was resected in 9 initial nephron sparing operations. Postoperative computerized tomography revealed 35 lesions of which 8 had enlarged. Four patients underwent secondary renal surgery and adequate renal function was preserved. CONCLUSIONS: Even with the high risk of local recurrence nephron sparing surgery is an appropriate approach for these patients.
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