Correct Answer - A Ans: A. Partial nephrectomy Partial nephr | Surgery videos & books

Correct Answer - A
Ans: A. Partial nephrectomy
Partial nephrectomy is now being used as primary surgical therapy
for patients with a tumor less than 4 cm in size. Earlier Radical
nephrectomy was the treatment of choice for tumors of any size.
Classic radical nephrectomy consists of removal of the kidney,
perirenal fat, adrenal gland, and regional lymph nodes. Most stage I
and stage II tumors.
Partial nephrectomy- is indicated for patients with a T1 tumor
(according to the UICC TNM staging system) and a normal
contralateral kidney.
Intervention should be considered for growth to >3-4cm or by
>O.5cm per year.
Stage T1aN0M0
Partial nephrectomy recommended. This can be done via
open/laparoscopic/robotic procedures
Stage T1bN0M0
PN (open/laparoscopic/robotic) in cases where technically feasible
Laparoscopic RN should be offered if a PN is not feasible
Open RN if laparoscopic surgery is not possible.
Stage T2N0M0
RN – open/laparoscopic/robotic
PN – open/laparoscopic/robotic
Stage T3
RN – open, laparoscopic or robotic-assisted
Resection of vascular thrombosis when applicable (usually open)
Resection of all gross disease including hilar or retroperitoneal
extension
PN may be attempted in highly selected cases by experienced
surgeons
Ref- Bailey and Love, Short practice of surgery, 27th edition
published in 2018 Pg 1420
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