This contemporary review examines the key surgical determinants of outcomes in partial nephrectomy, with emphasis on modern minimally invasive and robotic approaches. It highlights how tumor complexity, ischemia strategy, resection technique, intraoperative imaging, parenchymal preservation, hemostasis, renorrhaphy, and surgeon experience influence oncologic control, renal functional preservation, and perioperative morbidity. The article provides an evidence-based framework to optimize outcomes in nephron-sparing surgery for localized renal masses.
Surgical Determinants of Outcomes in Partial Nephrectomy: a Contemporary Review
Partial nephrectomy is now the standard nephron-sparing treatment for small renal masses. This review summarizes key technical determinants of outcomes, including resection, ischemia control, parenchymal preservation, imaging, hemostasis, and reconstruction.