Chapters authored
Recent Advances and New Perspectives in Surgery of Renal Cell Carcinoma
Renal cell carcinoma (RCC) is one of the most common types of cancer in the urogenital system. For localized renal cell carcinoma, nephron-sparing surgery (NSS) is becoming the optimal choice because of its advantage in preserving renal function. Traditionally, partial nephrectomy is performed with renal pedicle clamping to decrease blood loss. Furthermore, both renal pedicle clamping and the subsequent warm renal ischemia time affect renal function and increase the risk of postoperative renal failure. More recently, there has also been increasing interest in creating surgical methods to meet the requirements of nephron preservation and shorten the renal warm ischemia time including assisted or unassisted zero-ischemia surgery. As artificial intelligence increasingly integrates with surgery, the three-dimensional visualization technology of renal vasculature is applied in the NSS to guide surgeons. In addition, the renal carcinoma complexity scoring system is also constantly updated to guide clinicians in the selection of appropriate treatments for patients individually. In this article, we provide an overview of recent advances and new perspectives in NSS.
Part of the book: Renal Cell Carcinoma