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Challenging situations in partial nephrectomy

Raison, N; Doeuk, N; Malthouse, T; Kasivisvanathan, V; Lam, W; Challacombe, B; (2016) Challenging situations in partial nephrectomy. International Journal of Surgery , 36 pp. 568-573. 10.1016/j.ijsu.2016.05.070. Green open access

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Abstract

Although most partial nephrectomies are performed as primary procedures in the elective or semi-imperative setting on kidneys with relatively normal anatomy, this is not always the case. The indications for partial nephrectomy continue to expand and it is becoming particularly relevant in patients with single functioning kidneys, poor kidney function, anatomical anomalies and hereditary syndromes predisposing to multiple kidney cancers, such as Von Hippel-Lindau syndrome. These, along with previous abdominal surgery, pose surgical challenges. In this article we offer advice as to how to tackle these unusual situations. An ability to master the whole range of indications will allow the modern upper renal tract surgeon to offer partial nephrectomy to a wider range of patients.

Type: Article
Title: Challenging situations in partial nephrectomy
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.ijsu.2016.05.070
Publisher version: http://dx.doi.org/10.1016/j.ijsu.2016.05.070
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Partial Nephrectomy, Single Kidney, Von Hippel-Lindau Disease, Pelvic Kidney, Horseshoe Kidney, RENAL-CELL CARCINOMA, NEPHRON-SPARING SURGERY, ASSISTED PARTIAL NEPHRECTOMY, LAPAROSCOPIC PARTIAL NEPHRECTOMY, POSITIVE SURGICAL MARGINS, HIPPEL-LINDAU DISEASE, SOLITARY KIDNEY, RADICAL NEPHRECTOMY, ONCOLOGIC OUTCOMES, WARM ISCHEMIA
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention
URI: https://discovery.ucl.ac.uk/id/eprint/10111845
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