19 - Partial nephrectomy

Abstract

Partial nephrectomy is now considered the treatment of choice for small renal masses, as long term oncologic outcomes are equivalent to radical nephrectomy, whilst preserving renal function. The indications for robotic partial nephrectomy with a trans- or retroperitoneal approach have expanded over the years to include larger, more central, endophytic, and complex tumors. In experienced hands, all but the most complex partial nephrectomies can be performed robotically without using open techniques.