Conservative renal surgery has recently been extended to elderly patients who have decreased renal function and reduced survival rates in the case of dialytic treatment. Furthermore, age is no longer a limiting factor despite the increased anethesiological risk. Fifteen cases of renal neoplasm in patients over 70, who had undergone conservative surgery, were reviewed: 14 are alive and disease-free after 14-135 months and 1 died from unrelated causes. It is concluded that conservative renal surgery has a role even in the elderly.
MinettiL.: La compliance del paziente anziano al trattamento sostitutivo della funzione renale. In: Tecniche nefrologiche e dialitiche ‘93. Milano, Wichtig Editore, 135–136, 1993.
2.
NovickA.C., StreemS., MontieJ.E.: Conservative surgery for renal cell carcinoma: a single-center experience with 100 patients. J. Urol., 141: 835, 1989.
3.
MorganW.R., ZinckeH.: Progression and survival after renal-conserving surgery for renal cell carcinoma: experience in 104 patients and extended follow-up. J. Urol., 144: 852–858, 1991.
4.
Van PoppelH., ClaesH., WillemenP., OyenR., BaertL.: Is there a place for conservative surgery in the treatment of renal cell carcinoma? Br. J. Urol., 67: 129–133, 1991.
5.
SteinbachF., StöckleM., MüllerS.C., ThuroffJ.W., MelchiorS.W., SteinR., HohenfellnerR.: Conservative surgery of renal cell tumours in 140 patients: 21 years of experience. J. Urol., 148: 24–30, 1992.
6.
MollV., BechtE., ZieglerM.: Kidney preserving surgery in renal cell tumours. J. Urol., 150: 319, 1993.
7.
PolascikT.J., PoundC.R., MengM.V., PartinA.W., MarshallF.F.: Partial nephrectomy: technique, complications and pathological findings. J. Urol., 154: 1312–1318, 1995.
8.
RizzoM., SelliC., LapiniA., BartolettiR.: Conservative renal surgery of renal cell carcinoma: evaluation of the prognostic factors. Acta Urol. Ital., 11(2): 111–116, 1997.
9.
MobilioG., TallarigoC., ComunaleL., NovellaG., RivaM.: Conservative surgical management of renal neoplasia. In: Berichte aus der Urologie.HuberRolff-Dieter Ed. BuA-Verlag Werner Streinbruck. Baden-Baden/FRG, 169–171, 1989.
TallarigoC., ComunaleL., BianchiG., CavalieriS., NovellaG., MottaL., BeltramiP., MobilioG.: Enucleazione come trattamento di scelta delle neoplasie renali di basso stadio e grado. Acta Urol. Ital., 6(suppl. 4): 459–460, 1992.
12.
TallarigoC., ComunaleL., BianchiG., NovellaG., PaganelliG.A., MottaL., MobilioG.: Il trattamento chirurgico conservativo delle neoplasie renali: 19 anni di esperienza. In: 69° Congresso Naz. della Società Italiana di Urologia.Riva del Garda (TN), 2-5 giugno, 103, 1996.
13.
McLachlanM.: Anatomic structural and vascular changes in the aging kidney. In: Renal function and disease in the elderly. Edited by Macias-NuñezJ.F., CameronJ.S.London - Butterworths, 3–26, 1987.
14.
ZawadaE.T., BoiceJ.L., SantellaR.N.: Kidney and aging. In: Textbook of nephrology. Edited by Massry S.G., Glassock R.J. Baltimore - Williams and Wilkins, vol. 2, cap.59: 1138–1147, 1995.
15.
ValvoE., BedognaE., PanebiancoR., GammaroL., OrtaldaV., TessitoreN., OldrizziL., ForteP., CrimiG., CavaggioniM., SaporitiE., MaschioG.: Studio della funzione renale e del metabolismo idroelettrolitico in soggetti anziani. Giornale Veneto di Scienze Mediche, vol. 37, suppl. ai nn. 1-2-3: 21–25, 1985.
16.
OrsiC., De SanctisL.B., NeriL., GiudicissiA., BuscaroliA., StefoniS.: Considerazioni sul franamento dialitico sostitutivo nel paziente anziano. In: Tecniche nefrologiche e dialitiche ‘93.Milano, Wichtig Editore, 137–143, 1993.
17.
OnishiT., MachidaT., MasudaF., IizukaN., ShirakawaH., HatanoT.: Clinical study of patients with renal carcinoma surviving more than 10 years after nephrectomy. Br. J. Urol., 70: 483–487, 1992.
18.
LopatkinN.A., Igel'nikA.M., PopovkinN.N., OrlovaE.V.: The choice of treatment method in kidney cancer in middle-aged and elderly patients. Urol. Nefrol. Mosk., 22(4): 22–24, 1994.
19.
LichtM.R., NovickA.C., GoormasticM.: Nephronsparing surgery in incidental versus suspected renal cell carcinoma. J. Urol., 152: 39, 1994.
