Functional Analysis of Elective Nephron Sparing Surgery vs Radical Nephrectomy for Renal Tumors Larger Than 4 CM Editorial Comment (original) (raw)

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This article investigates the perioperative outcomes associated with elective nephron-sparing surgery (NSS) compared to radical nephrectomy (RN) for renal tumors larger than 4 cm. A cohort of 829 patients was analyzed, resulting in 247 patients remaining for functional assessment after adjusting for various risk factors. The findings indicate that while overall survival rates are comparable between RN and NSS, elective NSS is associated with a significantly lower risk of developing chronic kidney disease postoperatively, underscoring the importance of preserving renal function.

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