Trends in surgical management of T1 renal cell carcinoma
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Trends in surgical management of T1 renal cell carcinoma. / Schiffmann, Jonas; Bianchi, Marco; Sun, Maxine; Becker, Andreas.
In: CURR UROL REP, Vol. 15, No. 2, 12.01.2014, p. 383.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Trends in surgical management of T1 renal cell carcinoma
AU - Schiffmann, Jonas
AU - Bianchi, Marco
AU - Sun, Maxine
AU - Becker, Andreas
PY - 2014/1/12
Y1 - 2014/1/12
N2 - Historically, open radical nephrectomy (ORN) represented the standard of care for localized renal cell carcinoma (RCC). While the incidence of T1 RCC is rising, treatment options are developing fast and the standard of care according to European and American guidelines has changed to partial nephrectomy (PN), or laparoscopic radical nephrectomy in patients not suitable for PN. To assess the implementation of guideline recommendations and to profile recent surgical and technical innovations, we reviewed the current literature. We observed that ORN still represents the most commonly used treatment in T1 RCC patients. Utilization of PN increased over time but implementation is still in progress. Whereas PN is frequently used in tertiary care centers, population-based studies suggest discrepancies in the diffusion of standard of care treatments. Alternative minimally invasive approaches for PN are available but their superiority is not yet proven. Further efforts in improving the training of urologic surgeons are required to continue the implementation of guideline recommendations.
AB - Historically, open radical nephrectomy (ORN) represented the standard of care for localized renal cell carcinoma (RCC). While the incidence of T1 RCC is rising, treatment options are developing fast and the standard of care according to European and American guidelines has changed to partial nephrectomy (PN), or laparoscopic radical nephrectomy in patients not suitable for PN. To assess the implementation of guideline recommendations and to profile recent surgical and technical innovations, we reviewed the current literature. We observed that ORN still represents the most commonly used treatment in T1 RCC patients. Utilization of PN increased over time but implementation is still in progress. Whereas PN is frequently used in tertiary care centers, population-based studies suggest discrepancies in the diffusion of standard of care treatments. Alternative minimally invasive approaches for PN are available but their superiority is not yet proven. Further efforts in improving the training of urologic surgeons are required to continue the implementation of guideline recommendations.
U2 - 10.1007/s11934-013-0383-0
DO - 10.1007/s11934-013-0383-0
M3 - SCORING: Journal article
C2 - 24414526
VL - 15
SP - 383
JO - CURR UROL REP
JF - CURR UROL REP
SN - 1527-2737
IS - 2
ER -