Kidney cancer recurrence: predictors and outcomes of repeat partial nephrectomy (literature review)

In the last ten years, number of organ preservation surgeries for kidney cancer significantly increased. Per literature data, incidence recurrences after partial nephrectomy is between 2.9 and 11 %, mostly they are located in operated or contralateral kidney. Positive surgical margin, high stage histological subtype tumor, as well hereditary diseases, can serve predictors recurrences. renal recurrences, radical nephrectomy, ablation therapy repeat tumor resection possible treatment methods. Kidney resection, same primary tumors, leads to chronic disease cardiovascular complications. Different methods, despite their low invasiveness, not always technically possible. Therefore, patients with recurrence satisfactory functional status, be a method choice. The describes outcomes open general severe these complications decreased due use robot-assisted access recurrent tumors. Functional characteristics resections do decrease, especially nephrectomy. Oncological remain intermediate, further prospective multi-center trials needed confirmation.