Nephrectomy

New AUA Guidelines Promise Better Care

New AUA Guidelines Promise Better Care

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To avoid CKD, the guidelines now provide detailed review of the risk/benefit profile comparing partial to radical nephrectomy.

What Not to Eat After Nephrectomy

What Not to Eat After Nephrectomy

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Both urologists and nephrologists provide follow-up and continuity of care to patients after cancer nephrectomy.

 Recurrence of Low-Risk RCC Uncommon After Surgery

Recurrence of Low-Risk RCC Uncommon After Surgery

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In a study, the 5-year risk of recurrence was 4.8%, 18.1%, and 46.3% for patients with low-, intermediate-, and high-risk disease.

Guidelines Issued for Managing Small Renal Masses

Guidelines Issued for Managing Small Renal Masses

All patients with an SRM should be considered for a biopsy when the results may alter management.

Benign Disease Found in 14% of PN Cases

Benign Disease Found in 14% of PN Cases

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The most common types of benign pathology were oncocytoma, angiomyolipoma, and complex cysts.

Robotic Nephrectomy for Localized RCC On The Rise

Robotic Nephrectomy for Localized RCC On The Rise

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In 2013, nearly one third of all minimally invasive radical nephrectomies were performed with robotic assistance.

Robotic Partial Nephrectomy Offers Better Morbidity Than Laparoscopic

Robotic Partial Nephrectomy Offers Better Morbidity Than Laparoscopic

Robotic partial nephrectomy confers a superior morbidity profile compared to laparoscopic partial nephrectomy.

Partial Nephrectomy Use Increasing

Partial Nephrectomy Use Increasing

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Study of US veterans reveals, however, that the procedure is being used less in subgroups who might benefit the most.

Data Support Biopsy Before Renal Cryo

Data Support Biopsy Before Renal Cryo

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The recurrence group had significantly larger tumors than the no-recurrence group.

Higher Complication Rate Found With Open Partial Nephrectomy

Higher Complication Rate Found With Open Partial Nephrectomy

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Open partial nephrectomy had a significantly higher rate of complications.

Smaller Renal Tumors Predict Longer Surgical Wait Times

Smaller Renal Tumors Predict Longer Surgical Wait Times

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Patients whose surgical wait time was 3 months or more versus less than 3 months had 10-fold increased odds of having a smaller tumor.

Disseminated Cancer Increases Nephrectomy Complication Rate

Disseminated Cancer Increases Nephrectomy Complication Rate

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Disseminated cancer at the time of radical nephrectomy is associated with 2-fold increased odds of major perioperative complications.

Laparoscopic Nephrectomy May Be Performed as Outpatient Surgery

Laparoscopic Nephrectomy May Be Performed as Outpatient Surgery

Most patients discharged home within first 6 hours after surgery; none readmitted.

AKI After RCC Surgery On the Rise

AKI After RCC Surgery On the Rise

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Nearly 6% of patients who underwent partial or radical nephrectomy between 1998 and 2010 developed AKI.

Survival Advantage Confirmed for Nephrectomy in mRCC

Survival Advantage Confirmed for Nephrectomy in mRCC

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About 25% of patients who present with metastatic renal cancer will undergo nephrectomy after diagnosis.

Cytoreductive Nephrectomy Benefits Select mRCC Patients Taking TT

Cytoreductive Nephrectomy Benefits Select mRCC Patients Taking TT

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Among patients treated with targeted therapy, overall survival was 17.1 months for CN recipients vs 7.7 months for those without CN.

More mRCC Patients Receiving Treatment

More mRCC Patients Receiving Treatment

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Cytoreductive nephrectomy (CN) use remained stable in the targeted therapy era, but more patients are receiving a combination of CN and systemic therapy.

Aspirin Safe for Partial Nephrectomy Patients

Aspirin Safe for Partial Nephrectomy Patients

Findings among patients on chronic antiplatelet therapy for cardioprotection.

Positive Margins After Partial Nephrectomy Raises Death Risk

Positive Margins After Partial Nephrectomy Raises Death Risk

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Positive surgical margins are associated with a significant 34% increased risk of all-cause mortality.

Higher NLR Predicts More Aggressive Kidney Cancer

Higher NLR Predicts More Aggressive Kidney Cancer

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Elevated neutrophil-to-lymphocyte ratio is associated with larger tumors and greater nuclear grade.

Partial Nephrectomy Protects Against ESRD

Partial Nephrectomy Protects Against ESRD

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Nephron-sparing surgery decreased the risk of end-stage renal disease by 60% in select patients.

Robotic Nephrectomy of Kidney Tumors With Thrombi Feasible

Robotic Nephrectomy of Kidney Tumors With Thrombi Feasible

A retrospective study has shown that the procedure is feasible and was performed safely in selected patients with renal tumors.

Any Renal Function Decline in Living Kidney Donors a Cardiac Risk

Any Renal Function Decline in Living Kidney Donors a Cardiac Risk

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Increased left ventricular mass found in donors with even mild decreases in renal function.

Nephrectomy as Initial mRCC Treatment Offers Survival Advantage

Nephrectomy as Initial mRCC Treatment Offers Survival Advantage

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Patients who underwent upfront cytoreductive nephrectomy lived 6.4 months longer than those treated with upfront targeted therapy, a study found.

Surveillance Superior to Radical Nephrectomy for Small Renal Masses

Surveillance Superior to Radical Nephrectomy for Small Renal Masses

Active surveillance equal to partial nephrectomy for renal function preservation.

Surgeons Perform Well Despite Late Night and Early Morning Operations

Surgeons Perform Well Despite Late Night and Early Morning Operations

Review indicates that doctors who operate the night before another surgery do well.

Hospital Volume Impacts Post-Op Urologic Complications in Children

Hospital Volume Impacts Post-Op Urologic Complications in Children

Risk of postoperative complications increased for pediatric patients at non-high volume hospitals.

ESRD Risk with Radical and Partial Nephrectomy Comparable

ESRD Risk with Radical and Partial Nephrectomy Comparable

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Radical and partial nephrectomy for renal cell carcinoma are associated with a similar risk of end-stage renal disease (ESRD), according to research.

Laparoscopically Harvesting Right Kidneys from Living Donors Safe

Laparoscopically Harvesting Right Kidneys from Living Donors Safe

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Donor and recipient outcomes are similar to those associated with laparoscopic removal of left donor kidneys.

Study Identifies Human Factors in Surgical Errors

Study Identifies Human Factors in Surgical Errors

Individual cognitive factors accounted for half of all contributing human factor nano-codes.

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