What is the evolution in the development of the radical nephrectomy procedure?

Updated: Feb 05, 2019
  • Author: Richard A Santucci, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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See the list below:

  • 1869: Gustav Simon performs the first planned nephrectomy for the treatment of ureterovaginal fistula.

  • 1878: Kocher performs an anterior transperitoneal nephrectomy through a midline incision.

  • 1881: Morris performs the first nephrolithotomy; he later defines the terms nephrolithiasis, nephrolithotomy, nephrectomy, and nephrotomy.

  • 1884: Wells performs the first partial nephrectomy to remove a perirenal fibrolipoma.

  • 1913: Berg uses a transverse abdominal incision for securing the renal pedicle to remove vena caval tumor thrombi through a cavotomy.

  • Early-to-mid 1900s: The retroperitoneal flank approach becomes preferred because of the lower incidence of peritonitis and other abdominal complications associated with the anterior approach.

  • 1950s: The development of safe abdominal techniques leads to the revival of the anterior approach.

  • 1963: Robson described radical nephrectomy and the improvement in survival with the procedure. [1]

  • 1990: Clayman performs the first laparoscopic nephrectomy at Washington University.

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