Partial versus radical nephrectomy in pT2a renal cell carcinoma tumors: which is the superior surgical approach?

Abstract Background Controversy persists regarding the superiority of partial nephrectomy (PN) versus radical (RN) in pT2a renal cell carcinoma (RCC) tumors. In this study we aimed to compare survival and clinical outcomes between these two techniques Iran. Methods retrospective cohort, 96 patients who underwent either RN or PN for their RCC tumors were included. Overall (OS), cancer specific (CSS), recurrence free (RFS), major postoperative complications function compared, subsequently. Results During a mean follow-up time 57.3 ± 24.0 months, OS, CSS, RFS, bleeding, urinary leak, prolonged wound drainage length hospital stay not statistically different ( p = .09, .42, .27, .06 .78, respectively). Nevertheless, post-operative creatinine was significantly lower compared .01). Our multivariable cox regression models indicated that higher Fuhrman grade detrimentally affected CSS < .01) increased risk .02). Moreover, prior history ischemic heart disease (IHD) significant determinant OS .03) RFS Conclusions conclusion, our data suggested although similar RN, may offer better can be thus regarded as superior approach