Surgical Techniques for Kidney Cancer
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1 Surgical Techniques for Kidney Cancer
2 Rakesh V. Khanna Gennady Bratslavsky Robert J. Stein Editors Surgical Techniques for Kidney Cancer 123
3 Editors Rakesh V. Khanna Department of Urology SUNY Upstate Medical University Syracuse, NY USA Robert J. Stein Glickman Urological and Kidney Institute Cleveland Clinic Cleveland, OH USA Gennady Bratslavsky Department of Urology SUNY Upstate Medical University Syracuse, NY USA ISBN ISBN (ebook) Library of Congress Control Number: Springer Science+Business Media, LLC 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer Science+Business Media, LLC The registered company address is: 233 Spring Street, New York, NY 10013, U.S.A.
4 Foreword Management options for kidney cancer have continued to progress over recent years, with improvements in minimally invasive approaches and diagnostic imaging and tests. Surgeons faced with these expanding options must make decisions as to what is best for their patients. They must have a solid understanding of technique and outcomes to be able to provide patients with information needed to make an informed decision and to give them the best chance for a good result. Just because a technique is feasible, doesn t necessarily mean it is necessarily the best treatment for that particular patient. This book Surgical Techniques for Kidney Cancer is a concise reference dealing with different management and surgical treatment options of kidney cancer that can be a useful tool for surgeons making management decisions for patients with kidney cancer. The authors give a nice summary of topics including renal imaging, biopsy, robotic radical and partial nephrectomy, open radical and partial nephrectomy, laparoscopic partial nephrectomy, cryoablation, and radiofrequency ablation. The entire spectrum of disease complexity is covered, ranging from small renal masses to advanced kidney cancer with cavoatrial tumor thrombus extension. The book provides up-to-date information that incorporates current guidelines. Dr. Stein, Dr. Bratslavsky, and their contributors have provided an elegant and succinct overview of the salient issues of kidney cancer surgery that all surgeons dealing with this disease should know. Detroit, MI, USA Craig G. Rogers MD, FACS Director of Renal Surgery, Urologic Oncology Vattikuti Urology Institute, Henry Ford Health System v
5 Preface Kidney cancer is the eighth most common cancer in the USA. In 2017, it is estimated that there will be 63,990 new cases of the disease and 14,400 patients will die from the disease. It is a condition that all urologists will encounter and we owe it to our patients to be familiar with its management in order to provide them the best possible care. While surgery remains the primary treatment in localized disease, additional options also include surveillance of renal masses and ablative procedures. Treatment options in the metastatic setting include cytokine therapy, targeted therapy, and immune checkpoint inhibitors, but even in this setting, surgery also plays a role in select patients. The aim of this manual is to serve as a reference to the urologist managing kidney cancer. This was created for urology residents and attendings. Starting from diagnosis (imaging, biopsy) to treatment (ablation, open surgery, minimally invasive surgery), surgical approaches for the management of kidney cancer are covered and techniques to optimize outcomes are reported. We are fortunate to have renowned faculty describe their techniques and to contribute their knowledge to this manuscript. They have all devoted their time and effort to see this project through. I hope that this will serve as a valuable tool when seeing patients in the clinic and when preparing for surgery. Lastly, the success of this endeavor resides with the reader. We encourage you to give suggestions for topics for future editions. What would you like covered and what can we do to make it better? Continue striving for the best patient care. Syracuse, USA Rakesh V. Khanna vii
6 Acknowledgements I would like to thank the Almighty for giving me the ability to complete this manuscript. I would like to thank all the Authors who took time out of their schedules to contribute to this manuscript. A special thanks goes to Brian Halm who put this volume together and worked tirelessly to keep the manuscript on schedule. This work is dedicated to my wife, family, and in remembrance of my parents. This work would not have been possible without their support. Rakesh V. Khanna ix
7 Contents 1 Imaging of Renal Masses... 1 Sharad Maheshwari and Abhijit Raut 2 Renal Mass Biopsy Ricardo Rios and Jed-Sian Cheng 3 Open Partial Nephrectomy Srinivas Vourganti and Adam R. Metwalli 4 Robotic-Assisted Laparoscopic Partial Nephrectomy Morgan Prince and Rakesh V. Khanna 5 Management of Renal Cell Carcinoma with Inferior Vena Caval Tumor Thrombus Eric Kirshenbaum, Belinda Li, Petar Bajic and Marcus L. Quek 6 Minimally Invasive Radical Nephrectomy Including Vena Cava Thrombus Stephanie Gleicher and Gennady Bratslavsky 7 Renal Cryotherapy Nishant Jain and Robert J. Stein 8 Radiofrequency Ablation of Renal Masses Kenan Ashouri, Joshua Heiman, Anne M. Lopez, Emily F. Kelly and Raymond J. Leveillee Index xi
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