Year: 2026 | Month: April | Volume: 16 | Issue: 4 | Pages: 251-256
DOI: https://doi.org/10.52403/ijhsr.20260431
Partial Nephrectomy as a Modality of Treatment for Renal Cell Carcinoma - Clinical Profile and Outcomes
Ravi Patel
Department of Urology, Zydus Hospitals, Ahmedabad, Gujarat, India
Corresponding Author: Ravi Patel
ABSTRACT
Objective: Partial nephrectomy (PN) is increasingly important as a true alternative to radical nephrectomy in localised renal cell carcinoma (RCC). In this study, we observed indications, intraoperative, postoperative, and long-term complications of partial nephrectomy.
Material and Method: Thirty patients were enrolled over two years who presented with symptoms suggestive of RCC (such as hematuria or a lump in the loin area) or had imaging studies indicating RCC, at our outpatient or inpatient department. They underwent partial nephrectomy, and we studied their demographic, clinical, and pathological features, along with complications and long-term follow-up.
Results: The average age was 56.3 ± 8.46 years. Preoperative mean creatinine was 1.11mg/dl,, and during follow-up, it was 1.23 mg/dl. The mean eGFR preoperatively was 86.71 ml/min/1.73 m2, declining to 76.44 ml/min/1.73 m2 at follow-up. Functional outcomes were good, with no patients requiring dialysis. The average operation duration was 183.43 minutes, warm ischemia time 27.44 minutes, ice slush time 12.1 minutes, and intraoperative blood loss 289 ml. The mean drain removal day was 3.47 ± 1.11 days, sutures were removed around 13.53 ± 1.07 days, and the average postoperative hospital stay was 4.17 ± 0.87 days.
Conclusion: For patients with small, localised, unilateral renal tumors, elective open NSS is feasible, safe, and offers excellent long-term local control and oncological outcomes, along with functional benefits.
Key words: partial nephrectomy, renal cell carcinoma, nephron-saving surgery