EAU 2019

The European Association of Urology (EAU) held its annual congress in Barcelona, Spain this month. There were presentations about partial nephrectomy, neoadjuvant treatment of renal cell carcinoma (RCC), and the management of RCC. Here are some of the more interesting RCC presentations for you to browse through: EAU 2019: The Challenging Landscape in Advanced Renal […]

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Cryoablation versus partial nephrectomy for early stage renal masses

A recent study, published in the Journal of Cancer, conducted a systematic review and meta-analysis of the outcomes data for the use of cryoablation versus partial nephrectomy for early stage (T1) renal tumours. The review showed that cryoablation is linked with poorer oncologic outcomes than partial nephrectomy, but patients who underwent cryoablation had lower rates […]

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Pros and cons of lymph node dissection at the time of nephrectomy

The following two presentations were given at the Canadian Uro-oncology Summit in Toronto last week on the pros and cons of removing lymph nodes during nephrectomy for renal cell carcinoma (RCC). In summary, lymph node dissection may be curative in patients with non-metastatic RCC, and may improve the patient’s response to systemic treatment in patients […]

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Robot-assisted surgery available in East Lancashire

Three talented surgeons have performed what is believed to be the first combined renal and bowel cancer surgery in the North West using robotic surgery assisted by the Da Vinci robot. The surgery was performed at the Royal Blackburn Teaching Hospital, East Lancashire Hospitals NHS Trust. The patient was given pioneering surgery involving a partial […]

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Radical versus partial nephrectomy for early stage kidney cancer

A recent study involving 2,459 people who had a partial or radical nephrectomy for early stage (cT1) renal cell carcinoma (RCC) has shown that, although radical nephrectomy was associated with an increased risk of chronic kidney disease compared with partial nephrectomy, it was not associated with a statistically significant difference in survival among patients with […]

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Neoadjuvant axitinib shrinks kidney tumours to allow for partial nephrectomy

A recent phase II study of 18 patients with clear-cell renal cell carcinoma (RCC) stage cT2a showed that treatment with axitinib before surgery (neoadjuvant treatment) reduced the size of the tumour. Before treatment with axtinib, these patients were not considered suitable for partial nephrectomy. Neoadjuvant treatment with axitinib enabled 67% of patients to undergo partial nephrectomy […]

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Robotic partial nephrectomy versus open or laparoscopic partial nephrecotmy

A recent literature review and meta-analysis of worldwide data, published in Journal of Urology, reports that undergoing partial nephrectomy using a robotic surgical approach resulted in outcomes that were mostly superior, or at least as good as, those seen with open or laparoscopic partial nephrectomy. The analysis included data from 33 studies including 20,282 patients. Robotic partial nephrectomy […]

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Robotic partial nephrectomy found to be mostly superior to other surgeries

A recent review and meta-analysis by researchers from the University of Southern California Keck School of Medicine in Los Angeles, USA, has shown that robotic partial nephrectomy results in mostly better outcomes than either open or laparoscopic partial nephrectomy. The study was published in the Journal of Urology this month. Robotic partial nephrectomy was associated […]

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Ablation versus surgery for early stage kidney tumours

A recent paper, published in Annals of Internal Medicine, suggests that percutaneous ablation using heat or cold may result in similar outcomes to those of radical nephrectomy in preselected older patients with early stage renal cell carcinoma (T1a RCC). Percutaneous ablation also results in less long-term renal insufficiency and fewer surgical complications. When compared to […]

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Rupture of kidney cysts during nephrectomy does not spread cancer

A recent paper, published in Journal of Urology, has shown that there were no local or metastatic recurrences of kidney cancer in a group of patients where there was rupture of a cyst in a malignant tumour during surgery to remove the part of the kidney containing the tumour (partial nephrectomy). The researchers concluded that […]

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