During the month of February we have carried out two renal tumourectomies at our hospital. Both cases involved young males with two kidneys with exophytic renal lesions <4 cm (palpable on the surface of the kidney). Both cases have progressed favourably and both patients are at home waiting for the anatomical pathology consultation.
The partial renal or renal tumourectomy surgery have the advantage of keeping the rest of the kidney healthy. It is usually carried out on exophytic lesions which are smaller than 4 cm. Occasionally, experts may carry out partial surgery on masses of 6 or 7 cm. It is important that the lesions are located outside the renal vascular area.
The main disadvantage of this type of surgery is the perioperative bleeding. During the surgery, the renal artery and veins are located and isolated. The renal parenchyma is stitched on the tumour bed and it is left in the same haemostatic material. The safety margin of the healthy peritumoural tissue is very small. Therefore, the dissection of the tumour is carried out on its edges.