Abstract
ABSTRACT The approach to managing renal masses has significantly changed over time. Traditionally, nephrectomy was the standard treatment for both large and small tumors, but modern practices are more nuanced. Today, treatment strategies are tailored to each patient’s overall health, personal preferences, and specific tumor characteristics. In recent years, partial nephrectomy has become the standard of care whenever possible. However, this approach is not always feasible in complex renal tumors. Radical nephrectomy continues to be the preferred method for larger, complex tumors and those with aggressive growth patterns. The rise of minimally invasive procedures has empowered the surgeon to perform nephron-sparing partial nephrectomy in complex tumors too. We report the case of a 70-year-old obese patient with a complex left renal tumor and chronic kidney disease. The patient underwent robotic partial nephrectomy with clear margins and no deterioration of renal function which was of paramount importance in preventing progression to overt renal failure requiring dialysis.
Published Version
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