Objective:No standard strategy for diagnosis and management of positive surgical margin(PSM)and local recurrence after partial nephrectomy(PN)are reported in *** review aims to provide an overview of the current strat...
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Objective:No standard strategy for diagnosis and management of positive surgical margin(PSM)and local recurrence after partial nephrectomy(PN)are reported in *** review aims to provide an overview of the current strategies and further perspectives on this patient ***:A non-systematic review of the literature was *** research included the most updated articles(about the last 10 years).Results:Techniques for diagnosing PSMs during PN include intraoperative frozen section,imprinting cytology,and other specific *** clear evidence is reported about these *** PSM management,active surveillance with a combination of imaging and laboratory evaluation is the first option line followed by *** local recurrence management,surgery is the primary curative approach when possible but it may be technically difficult due to anatomy resultant from previous *** this scenario,thermal ablation(TA)may have the potential to circumvent these limitations representing a less invasive *** surgery represents a valid option;six studies analyzed the outcomes of nephrectomy on local recurrence after PN with three of these focused on robotic ***all,complication rates of salvage surgery are higher compared to TA but ablation presents a higher recurrence rate up to 25%of cases that can often be managed with repeat ***:Controversy still exists surrounding the best strategy for management and diagnosis of patients with PSMs or local recurrence after *** surveillance is likely to be the optimal first-line management option for most patients with *** and salvage surgery both represent valid options in patients with local recurrence after ***,salvage PN and radical nephrectomy have fewer recurrences but are associated with a higher complication rate compared to *** this scenario,robotic surgery plays an important role in improving salvage PN and radical nephrectom
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