Renal function after kidney surgery: “it’s tough to make predictions, especially about the future”

John M. DiBianco, Patrick T. Gomella, Mark W. Ball


Partial nephrectomy (PN) is the treatment of choice for the majority of cT1 renal masses (1,2); however, selecting which procedure maximizes benefit and minimizes harm remains a significant clinical challenge. The controversy regarding the decision to perform radical nephrectomy (RN) or PN revolves around the concern for oncologically sound surgery versus optimizing postoperative renal function (2,3). Thus, a focus of research has tried to identify nomograms and protocols to determine the ideal patients for each surgical modality.