Purpose: We evaluated the results of nephrone sparing surgery (NSS) operations performed in our department years between 2003-2008 in this study.

Material and Methods: Thirty patients, treated by NSS with renal tumors evaluated. Mean age of the patients was 46.72 (21-68) years. There were 23 male and 7 female patients. Pre-operative tumor diameters were ranging between 1.5 cm to 6 cm.

Results: After final pathological examination 20 (66.7%) renal cell cancer (RCC), 9 (30.0%) benign pathology and 1 (3.3%) metastatic adenocarsinoma was demonstrated. Mean tumor diameter was 3.80 cm (3.5-6.5) in RCC cases. The pathological stage distribution of RCC cases were 12 T1a (60%), 7 T1b (35%) and 1 T3a (5%). The pathological diagnosis of benign lesions was 3 angiomyolipoma, 3 oncocytoma, 1 hemorrhagic cyst, 1 calcified cyst and 1 osseous metaplasia. The mean tumor diameter of benign lesion was 3.19 cm (2-5.5). Mean follow-up period of RCC cases was 26.8 (1-62) months. During the follow-up period there were no systemic or local recurrences among the RCC cases.

Conclusion: Our study demonstrated that NSS has similar oncological results as radical nephrectomy with low mortality and morbidity. NSS should be the first choice in kidney tumors less than 4 cm diameter because of effective local control of disease, preservation of renal function and definitive diagnosis of benign and malignant tumors.

Conference Title

turkish internartional urology congress

Conference Country

Turkey

Conference Date

Jan. 1, 2008 - Jan. 1, 2008

Conference Sponsor

turkish internartional urology congress