Editorial Comment

Abstract

Minimally invasive partial nephrectomy (MIPN) is gaining traction. Although the appeal of minimally invasive surgery in the last decade may have led to an overuse of nephrectomy when nephron sparing was possible, 1 Miller D.C. Hollingsworth J.M. Hafez K.S. et al. Partial nephrectomy for small renal masses: an emerging quality of care concern?. J Urol. 2006; 175: 853 Abstract Full Text Full Text PDF PubMed Scopus (160) Google Scholar , 2 Abouassaly R. Alibhai S.M. Tomlinson G. et al. Unintended consequences of laparoscopic surgery on partial nephrectomy for kidney cancer. J Urol. 2010; 183: 467-472 Abstract Full Text Full Text PDF PubMed Scopus (92) Google Scholar , 3 Boorjian S.A. Uzzo R.G. The evolving management of small renal masses. Curr Oncol Rep. 2009; 11: 211-217 Crossref PubMed Scopus (17) Google Scholar urologists are increasingly able to offer MIPN rather than defaulting to laparoscopic nephrectomy. As this favorable trend continues (potentially fueled by the egalitarian influence of robotics), and as more surgeons adopt MIPN, it becomes important to better define the expected outcomes of these complex procedures. Iatrogenic Vascular Lesions After Minimally Invasive Partial Nephrectomy: A Multi-institutional Study of Clinical and Renal Functional OutcomesUrologyVol. 78Issue 4PreviewTo report the first large multi-institutional experience, including clinical and renal functional outcomes after treatment of iatrogenic vascular lesions (eg, renal artery pseudoaneurysm, arteriovenous fistula). These lesions are uncommon after minimally invasive partial nephrectomy (MIPN) but can be associated with significant morbidity. Full-Text PDF