What are the surgical options for performing a partial nephrectomy nephron-sparing surgery (NSS)?

Updated: Apr 01, 2019
  • Author: Reza Ghavamian, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

In most cases in which preoperative imaging is optimized and the correct incision is used, partial nephrectomy can be performed in situ. Temporary arterial occlusion and regional hypothermia are often necessary, depending on the size, location, and number of renal masses. Surgical options include enucleation with a rim of normal parenchyma, wedge resection, polar nephrectomy, or bench surgery and autotransplantation (ex vivo).


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