Renal oncocytoma surgery: Difference between revisions

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__NOTOC__
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{{Renal Oncocytoma}}
{{Renal Oncocytoma}}
{{CMG}}
{{CMG}}; {{AE}}{{Homa}} {{SC}}
==Overview==
==Overview==
[[Surgery]] is the mainstay of treatment for renal oncocytoma.
[[Surgery]] is the mainstay of treatment for renal oncocytoma. Although the nature of renal oncocytoma is [[benign]] and the [[prognosis]] is excellent, since the definite [[diagnosis]] can not be obtained before [[Operation (mathematics)|operation]], [[surgical resection]] is a choice of treatment. Best option for [[surgery]] differs based on the [[mass]] characteristics, [[partial nephrectomy]] is done in [[polar]] [[lesions]] smaller than 4 cm in a normal contralateral [[kidney]] while, large [[solid]] [[renal]] [[mass]]<nowiki/>es which destroy most part of [[renal]] [[tissue]] or [[patients]] who have not candidate for nephron-sparing [[surgery]] are reserved for total [[nephrectomy]].


==Surgery==
==Surgery==
[[Surgery]] is the mainstay of treatment for renal oncocytoma.
[[Surgery]] is the mainstay of treatment for renal oncocytoma. Although the nature of renal oncocytoma is [[benign]] and the [[prognosis]] is excellent, since the definite [[diagnosis]] can not be obtained before [[Operation (mathematics)|operation]], [[surgical resection]] is a choice of treatment.<ref>{{Cite journal
* [[Nephrectomy]]
| author = [[I. S. Gill]], [[A. C. Novick]], [[A. M. Meraney]], [[R. N. Chen]], [[M. G. Hobart]], [[G. T. Sung]], [[J. Hale]], [[D. K. Schweizer]] & [[E. M. Remer]]
:* Nephrectomy is performed with the patient under [[general anesthesia]]. A kidney can be removed through an open incision or [[laparoscopic surgery]].
| title = Laparoscopic renal cryoablation in 32 patients
:* For the open procedure, the surgeon makes an incision in the side of the [[abdomen]] to reach the kidney. Depending on circumstances, the incision can also be made midline. The [[ureter]] and [[blood vessels]] are disconnected, and the [[kidney]] is then removed.
| journal = [[Urology]]
:* The laparoscopic approach utilizes three or four small (5–10&nbsp;mm) cuts in the abdominal and flank area. The kidney is completely detached inside the body and then placed in a bag.<ref>{{cite journal |doi=10.1016/S0022-5347(01)62049-4 |title=Complete Renal Embolization As an Alternative to Nephrectomy |year=1999 |last1=Hom |first1=David |last2=Eiley |first2=David |last3=Lumerman |first3=Jeffrey H. |last4=Siegel |first4=David N. |last5=Goldfischer |first5=Evan R. |last6=Smith |first6=Arthur D. |journal=The Journal of Urology |volume=161 |pages=24–7 |pmid=10037359 |issue=1}}</ref><ref>{{cite journal |pmid=10851826 |year=2000 |last1=Crotty |first1=KL |last2=MacAluso Jr |first2=JN |title=Partial colectomy required for resection of renal cell carcinoma: A case report and review of treatment options for locally advanced disease |volume=152 |issue=3 |pages=119–23 |journal=The Journal of the Louisiana State Medical Society}}</ref>
| volume = 56
| issue = 5
| pages = 748–753
| year = 2000
| month = November
| pmid = 11068292
}}</ref>


* [[Partial nephrectomy]]
There are some debate in choosing the best option of [[surgery]] for these [[patients]], although the recommendations are:<ref>{{Cite journal
:* Partial nephrectomy is performed with a patient under general anesthesia as well. A partial nephrectomy can be performed through an [[open surgery|open]], [[laparoscopic surgery|laparoscopic]], or robotic surgery approach. The patient is typically placed on the operating room bed lying on the side opposite the kidney tumor. :* The goal of the procedure is to remove the kidney tumor along with a thin rim of normal kidney tissue. In order to safely remove the kidney tumor, the blood flow to the kidney is often temporarily blocked off. The tumor is then cut out and the surgeon must sew the remaining kidney back together.<ref name="eighteen">{{cite journal |doi=10.1016/j.juro.2007.03.038 |title=Comparison of 1,800 Laparoscopic and Open Partial Nephrectomies for Single Renal Tumors |year=2007 |last1=Gill |first1=Inderbir S. |last2=Kavoussi |first2=Louis R. |last3=Lane |first3=Brian R. |last4=Blute |first4=Michael L. |last5=Babineau |first5=Denise |last6=Colombo Jr |first6=J. Roberto |last7=Frank |first7=Igor |last8=Permpongkosol |first8=Sompol |last9=Weight |first9=Christopher J. |last10=Kaouk |first10=Jihad H. |last11=Kattan |first11=Michael W. |last12=Novick |first12=Andrew C. |journal=The Journal of Urology |volume=178 |pages=41–6 |pmid=17574056 |issue=1}}</ref>
| author = [[Stephen M. Schatz]] & [[Michael M. Lieber]]
| title = Update on oncocytoma
| journal = [[Current urology reports]]
| volume = 4
| issue = 1
| pages = 30–35
| year = 2003
| month = February
| pmid = 12537936
}}</ref><ref>{{Cite journal
| author = [[D. Y. Chan]], [[J. A. Cadeddu]], [[T. W. Jarrett]], [[F. F. Marshall]] & [[L. R. Kavoussi]]
| title = Laparoscopic radical nephrectomy: cancer control for renal cell carcinoma
| journal = [[The Journal of urology]]
| volume = 166
| issue = 6
| pages = 2095–2099
| year = 2001
| month = December
| pmid = 11696714
}}</ref><ref>{{Cite journal
| author = [[W. K. Lau]], [[M. L. Blute]], [[A. L. Weaver]], [[V. E. Torres]] & [[H. Zincke]]
| title = Matched comparison of radical nephrectomy vs nephron-sparing surgery in patients with unilateral renal cell carcinoma and a normal contralateral kidney
| journal = [[Mayo Clinic proceedings]]
| volume = 75
| issue = 12
| pages = 1236–1242
| year = 2000
| month = December
| pmid = 11126830
}}</ref>
   
#[[Partial nephrectomy]]:
#*In a normal [[contralateral]] [[kidney]]
#*[[Polar]] lesions smaller than 4 cm in size 
#[[Nephrectomy]]:
#*Large [[solid]] [[renal]] [[mass]]<nowiki/>es which destroys most part of the [[renal]] [[tissue]]
#*The patient who has not candidate for nephron-sparing [[surgery]]


==References==
==References==
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{{WS}}
{{WS}}


[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Medicine]]
[[Category:Oncology]]
[[Category:Nephrology]]
[[Category:Surgery]]

Latest revision as of 23:57, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2] Shanshan Cen, M.D. [3]

Overview

Surgery is the mainstay of treatment for renal oncocytoma. Although the nature of renal oncocytoma is benign and the prognosis is excellent, since the definite diagnosis can not be obtained before operation, surgical resection is a choice of treatment. Best option for surgery differs based on the mass characteristics, partial nephrectomy is done in polar lesions smaller than 4 cm in a normal contralateral kidney while, large solid renal masses which destroy most part of renal tissue or patients who have not candidate for nephron-sparing surgery are reserved for total nephrectomy.

Surgery

Surgery is the mainstay of treatment for renal oncocytoma. Although the nature of renal oncocytoma is benign and the prognosis is excellent, since the definite diagnosis can not be obtained before operation, surgical resection is a choice of treatment.[1]

There are some debate in choosing the best option of surgery for these patients, although the recommendations are:[2][3][4]

  1. Partial nephrectomy:
  2. Nephrectomy:

References

  1. ↑ I. S. Gill, A. C. Novick, A. M. Meraney, R. N. Chen, M. G. Hobart, G. T. Sung, J. Hale, D. K. Schweizer & E. M. Remer (2000). "Laparoscopic renal cryoablation in 32 patients". Urology. 56 (5): 748–753. PMID 11068292. Unknown parameter |month= ignored (help)
  2. ↑ Stephen M. Schatz & Michael M. Lieber (2003). "Update on oncocytoma". Current urology reports. 4 (1): 30–35. PMID 12537936. Unknown parameter |month= ignored (help)
  3. ↑ D. Y. Chan, J. A. Cadeddu, T. W. Jarrett, F. F. Marshall & L. R. Kavoussi (2001). "Laparoscopic radical nephrectomy: cancer control for renal cell carcinoma". The Journal of urology. 166 (6): 2095–2099. PMID 11696714. Unknown parameter |month= ignored (help)
  4. ↑ W. K. Lau, M. L. Blute, A. L. Weaver, V. E. Torres & H. Zincke (2000). "Matched comparison of radical nephrectomy vs nephron-sparing surgery in patients with unilateral renal cell carcinoma and a normal contralateral kidney". Mayo Clinic proceedings. 75 (12): 1236–1242. PMID 11126830. Unknown parameter |month= ignored (help)

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