The traditional surgical method for treating kidney cancer is radical nephrectomy, which requires the removal of the entire kidney as well as the perirenal fat tissue and adrenal gland. For many years, radical nephrectomy has been considered the standard surgical procedure for treating kidney cancer. Nephrone-sparing surgery (NSS) is a revolutionary advancement in renal surgery. In recent years, it has received increasing attention in the treatment of kidney cancer. So can a patient with kidney cancer still survive after both kidneys are removed? Renal cancer does not have a true histological capsule, but often has a pseudocapsule composed of compressed renal parenchyma and fibrous tissue. Usually, surgeons use the pseudocapsule as a landmark to determine the scope of surgical resection. The traditionally used NSS surgical margin is the renal parenchyma more than 10 mm outside the pseudocapsule. A 10 mm surgical margin is certainly safe, but it may also result in the loss of many functional renal units. There is currently much controversy about the scope of the margin. |
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