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Surgical Treatment of Completely Endophytic Renal Tumor: a Systematic Review

  • Kidney Diseases (G Ciancio, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

An endophytic renal tumor represents a special surgical challenge in terms of location and safe removal. For this reason we wanted to review the existing literature on this subject.

Recent Findings

In high-activity robotic centers, robot-assisted partial nephrectomy (RAPN) is a safe and efficacious surgical approach for completely endophytic renal tumors. As research innovation, the application of the radio-guided occult lesion localization technique (ROLL) facilitates the location and complete excision of the tumor during surgery.

Summary

There are few studies that specifically report the experience with completely endophytic renal tumors. The endophytic tumor is usually smaller than exophytic. Frequently it represents a high complexity value in the different Score systems reported in the last decade. This surgery should be performed by experienced urologists regardless of the surgical approach they prefer (open, laparoscopic, or robotic). It is necessary to develop new techniques for intraoperative easy localization and intraoperative evaluation of surgical margins.

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Authors and Affiliations

  1. Department of Urology, La Fe Hospital, Fernando Abril Martorell 106, 46026, Valencia, Spain

    Javier Perez-Ardavin, Jose Vicente Sanchez-Gonzalez, Manuel Martinez-Sarmiento, Juan Jose Monserrat-Monfort, Francisco Boronat-Tormo & César D. Vera-Donoso

  2. Department of Urology, Hospital de Cruces, Plaza de Cruces, S/N, 48903, Baracaldo, Vizcaya, Spain

    Jorge García-Olaverri

Authors
  1. Javier Perez-Ardavin
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  2. Jose Vicente Sanchez-Gonzalez
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  3. Manuel Martinez-Sarmiento
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  4. Juan Jose Monserrat-Monfort
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  5. Jorge García-Olaverri
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  6. Francisco Boronat-Tormo
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  7. César D. Vera-Donoso
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Corresponding author

Correspondence to César D. Vera-Donoso.

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Conflict of Interest

Javier Perez-Ardavin, Jose Vicente Sanchez-Gonzalez, Manuel Martinez-Sarmiento, Juan Jose Monserrat-Monfort, Jorge García-Olaverri, Francisco Boronat-Tormo, and César D. Vera-Donoso each declare no potential conflicts of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Perez-Ardavin, J., Sanchez-Gonzalez, J.V., Martinez-Sarmiento, M. et al. Surgical Treatment of Completely Endophytic Renal Tumor: a Systematic Review. Curr Urol Rep 20, 3 (2019). https://doi.org/10.1007/s11934-019-0864-x

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  • DOI: https://doi.org/10.1007/s11934-019-0864-x

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