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Study Type – Therapy (case series)Level of Evidence 4What's known on the subject? and What does the study add?Adrenal‐sparing approaches should be utilized when performing radical nephrectomy unless there are specific concerns for adrenal involvement. Although current literature demonstrates 10‐year cancer control equivalence with adrenal‐sparing approaches, such approaches remain under‐used. Furthermore,...
Since the mid 1990s evidence has supported ipsilateral adrenal gland sparing radical nephrectomy unless the gland appears involved on imaging or the primary tumor is large and located in the upper pole. However, it is unclear whether this shift in surgical practice has been adopted at the population level. Using the Ontario Cancer Registry we identified 5,135 patients in the province of Ontario...
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