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Primary surgery for kidney cancer

General

Primary treatment of kidney cancer is intended to radically remove the primary tumor. This is usually performed as a radical nephrectomy. In cases of small tumor, studies have shown that renal resection has a similar cure rate as nephrectomy.

Radical nephrectomy and renal resection can be performed as open surgery (transperineally or retroperitoneally) or laparoscopically. The method of access chosen will depend on the size of the tumor, stage, tumor thromboses in vessels, and metastases to retroperitoneal lymph nodes. The experience of the surgeon will also play a role.  

It is not documented whether the different modes of access influence the cure rate.

Goal

  • Curative treatment
  • Part of multimodal treatment of metastasizing kidney cancer

Indication

  • Malignant disease of the kidney(s).

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