Page 9 - Read Online

Page 2 of 3 Van Poppel. Mini-invasive Surg. 2025;9:13 https://dx.doi.org/10.20517/2574-1225.2025.50

Despite these advancements, several challenges remain. The goal of this book is to explore and provide
further insight into some of these persistent issues in the management of small renal masses.

One important concern related to robot-assisted partial nephrectomy is the occurrence of positive surgical
[1]
margins . This risk is influenced by tumor characteristics, the nature of surgical indications (imperative vs.
elective), the surgeon’s experience, and the use of off-clamp techniques. Optimal strategies for follow-up
and treatment in cases of positive surgical margins remain to be further investigated.

Another challenge arises in the management of patients with bilateral small renal masses . Determining
[2]
what is feasible and safe in such cases is essential to achieving good oncological outcomes while minimizing
post-treatment morbidity.

A third issue is the integration of new techniques, such as 3D navigation in partial nephrectomy. Current
[3]
research underscores the necessity of further research in 3D navigation methods .
Minimally invasive surgical techniques also continue to evolve. This volume includes a discussion on single-
port partial nephrectomy , a promising approach that expands the role of retroperitoneal approaches and
[4]
improves postoperative recovery.

Additionally, one chapter addresses the indications and outcomes of ablative therapies for small renal
masses, with a particular focus on cryotherapy . This modality has grown in popularity due to its
[5]
advantages over surgery, including reduced pain, shorter hospitalization, avoidance of general anesthesia,
and lower costs.

There is also a definite need to develop core outcome sets to accurately assess the clinical effectiveness of
[6]
renal cancer treatments . Only by doing so can we effectively compare different surgical approaches and
management strategies for renal adenocarcinoma.

Finally, to prepare the next generation of uro-oncological surgeons to adopt these emerging techniques, it is
essential to optimize training models for partial nephrectomy . However, the current literature lacks well-
[7]
designed validation studies to establish the optimal training models.

We are deeply grateful to all the researchers and authors who contributed to this volume. Their great
enthusiasm and dedication made the coordination of this book both enjoyable and rewarding.

DECLARATIONS
Authors’ contributions
The author contributed solely to the article.

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.