Radical Nephrectomy Is Associated With Increased Mortality In Patients With Small Renal Tumors
April 26, 2017
UroToday - Numerous studies have demonstrated the underutilization of nephron sparing surgery in the setting of small renal masses. Previous studies have demonstrated that radical nephrectomy for small renal tumors is associated with an increased incidence of renal insufficiency. At the annual meeting of the AUA, the group from Memorial Sloan Kettering examined mortality and incidence of cardiovascular complications in patients undergoing surgery for small renal masses (pT1a), examining differences in those undergoing radical nephrectomy versus nephron sparing approaches. Using the SEER database, the authors found that there was a significant survival benefit in patients that underwent nephron sparing surgery for T1a tumors as compared to those undergoing radical nephrectomy. The 5 year OS for partial nephrectomy was 75% versus 68% in the radical nephrectomy group (p