Minimally Invasive Nephron-Sparing Surgery for Renal Tumors: Laparoscopic Partial Nephrectomy and Probe Ablative Treatments

Abstract

KEYWORDS ABSTRACTObjectives: To review the evolution and current status of extirpative and probeablative methods of minimally invasive nephron sparing surgery (MINSS) for renal tumors. Methods: The English language literature of past 10 years was reviewed using the National Library of Medicine database and the following key words: kidney, renal, tumor, nephron sparing surgery, laparoscopic partial nephrectomy, cryoablation, radiofrequency ablation, radiosurgery, high-intensity focused ultrasound, chemoablation, microwave thermotherapy, and laser interstitial thermotherapy. Over 500 articles were identified. A total of 100 articles were selected for this review based on their contribution to knowledge pertaining to: a) evolution of concepts, b) development and refinement of techniques, and c) intermediate and long-term clinical outcomes with minimally invasive nephron sparing surgery. Results: Open partial nephrectomy (OPN) is the