The algorithm that has been used successfully in the surgical management of unilateral Wilms tumor, radical nephroureterectomy, cannot be used in children who present with synchronous bilateral renal masses. Instead, a surgical approach that removes all tumor masses while preserving as much normal renal parenchyma as possible is encouraged to avoid acute and long-term renal insufficiency. We will review technical aspects of the conduct of nephron-sparing surgery for synchronous bilateral Wilms tumor, including the more recent advances in the use of imaging adjuncts such as pre-operative 3D imaging and fluorescence-guided surgery. The potential role of nephron-sparing surgery for unilateral Wilms tumor will also be discussed.
CITATION STYLE
Murphy, A. J., & Davidoff, A. M. (2023, February 10). Nephron-sparing surgery for Wilms tumor. Frontiers in Pediatrics. Frontiers Media SA. https://doi.org/10.3389/fped.2023.1122390
Mendeley helps you to discover research relevant for your work.