Surgical Treatment of Completely Endophytic Renal Tumor: a Systematic Review

Autores de IIS La Fe

• Javier Pérez Ardavín

  Autor

• Jose Vicente Sanchez Gonzalez

  Autor

• Manuel Martínez Sarmiento

  Autor

• Juan José Monserrat Monfort

  Autor

• Francisco Boronat Tormo

  Autor

• César David Vera Donoso

  Autor

Participantes ajenos a IIS La Fe

• Garcia-Olaverri, J

Grupos

• Núcleo de investigación traslacional integrado Urológico de Valencia (NITIUV)

• Urología

Abstract

Purpose of ReviewAn 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 FindingsIn 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.SummaryThere 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.

Keywords

• Endophytic tumor; Intraparenchymal tumor; Open partial nephrectomy; Renal tumor; Surgical treatment; Robotic partial nephrectomy; Laparoscopic partial nephrectomy