83. Renal Surgery for Malignant Disease: Radical Nephrectomy and Nephroureterectomy

  1. Arthur D. Smith MD3,
  2. Gopal H. Badlani MD4,
  3. Glenn M. Preminger MD5 and
  4. Louis R. Kavoussi MD3,6
  1. Ben R. McHone MD1,
  2. Thomas W. Jarrett MD2 and
  3. Peter A. Pinto MD1

Published Online: 5 JAN 2012

DOI: 10.1002/9781444345148.ch83

Smith's Textbook of Endourology, Volume I&II, 3rd Edition

Smith's Textbook of Endourology, Volume I&II, 3rd Edition

How to Cite

McHone, B. R., Jarrett, T. W. and Pinto, P. A. (2012) Renal Surgery for Malignant Disease: Radical Nephrectomy and Nephroureterectomy, in Smith's Textbook of Endourology, Volume I&II, 3rd Edition (eds A. D. Smith, G. H. Badlani, G. M. Preminger and L. R. Kavoussi), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444345148.ch83

Editor Information

  1. 3

    North Shore–Long Island Jewish Health System, The Arthur Smith Institute for Urology, New Hyde Park, NY, USA

  2. 4

    Institute of Regenerative Medicine, Wake Forest University Baptist Medical Center, Winston Salem, NC, USA

  3. 5

    Division of Urologic Surgery, Duke University Medical Center, Durham, NC, USA

  4. 6

    New York University School of Medicine, New York, NY, USA

Author Information

  1. 1

    Urologic Oncology Branch, National Cancer Institute, Bethesda, MD, USA

  2. 2

    Department of Urology, The George Washington University, Washington, DC, USA

Publication History

  1. Published Online: 5 JAN 2012
  2. Published Print: 1 FEB 2012

ISBN Information

Print ISBN: 9781444335545

Online ISBN: 9781444345148



  • laparoscopy;
  • robot assisted;
  • hand assisted;
  • nephrectomy;
  • nephroureterectomy;
  • distal ureterectomy;
  • urothelial carcinoma;
  • renal cell carcinoma


The advent of laparoscopy brought with it immediate gains in both cosmesis and overall patient morbidity when compared to open surgery. As data have emerged over time, minimally invasive surgery for renal cell carcinoma has been shown to be equivalent from an oncologic perspective. Though significant gains have been made in the laparoscopic and robotic management of upper tract urothelial carcinoma, further studies are needed to confirm encouraging preliminary oncologic results. Initially, the utilization of laparoscopy required a specialized skill set distinct from that used for open surgery. Now, with the development of robot-assisted surgery, techniques originally used for open surgery are more easily translated into the minimally invasive arena to be utilized by urologic surgeons without advanced laparoscopic skills. This chapter details the techniques of laparoscopic and robotic nephrectomy and nephroureterectomy along with a review of the pertinent literature.