Intraoperative Cyst Rupture during Partial Nephrectomy for Cystic Renal Masses—Does it Increase the Risk of Recurrence?

Abstract

Intraoperative cyst rupture during partial nephrectomy is a relatively common occurrence but with few oncologic implications.

Malignant ascites following radical nephrectomy for cystic renal cell carcinoma

“…up to 100 months postoperatively. 20 A prior study by Spaliviero et al involving 284 laparoscopic partial nephrectomy cases echoed a similar phenomenon, whereby only one retroperitoneal recurrence was reported 14 months postoperatively despite the negative margins and absence of intraoperative cyst rupture in all cases. 21 The study by Chen et al also highlighted that only four of nine patients with recurrence were reported to have cyst rupture, and no association can be derived between cyst rupture with the site of recurrence (p=1.00).…”

Partial nephrectomy for a Bosniak IV cystic renal mass mimicking a simple renal cyst adjacent to a solid renal tumor

“…In surgery for cystic renal tumors, inadvertent cyst rupture and tumor spillage should be avoided. Although the risk of dissemination owing to intraoperative cyst rupture is controversial, 16,17 Santiago et al 18 . and Limb et al 19 .…”

“…In surgery for cystic renal tumors, inadvertent cyst rupture and tumor spillage should be avoided. Although the risk of dissemination owing to intraoperative cyst rupture is controversial, 16,17 Santiago et al 18 and Limb et al 19 reported that intraoperative cyst puncture did not affect oncological outcomes. Meanwhile, Hayakawa et al 20 reported that the cyst fluid cytology in cystic RCC had a positive rate of 16.7%.…”

Intraoperative near‐infrared II window fluorescence imaging‐assisted nephron‐sparing surgery for complete resection of cystic renal masses

“… 1 As the malignant tumours rupture, cancer cells metastasize in the abdominal cavity, patients face a high risk of recurrence. 2 Meanwhile, studies have shown that more functional nephrons correlate with a better prognosis of patients. 3 Therefore, it is crucial to achieving accurate and complete tumour resection during partial nephrectomy (PN).…”

“…Caiguang Cao 1,2,* Shaohui Deng 3,* Binshuai Wang 3,* Xiaojing Shi 1,2 Liyuan Ge 3 Min Qiu 3 Fan Zhang 3 Min Lu 4 Lulin Ma 3 Chongwei Chi 1 Zhenhua Hu…”