Muhammed Esad KAYHAN, İlayda Özden YILDIRIM, Reha ORDULU, Mesut ŞENGÜL, Emrah KÜÇÜK, Ekrem AKDENIZ, Mahmut ULUBAY, Mustafa Kemal ATILLA
New Trends in Medicine Sciences - 2026;7(2):38-46
To evaluate the clinical outcomes of nephrectomy performed due to renal mass. Cases of nephrectomy performed due to renal mass at the Samsun University Urology Department between 2015 and 2024 were assessed retrospectively through our database. The patient s' sociodemographic characteristics, pre - and postoperative clinical parameters, surgical techniques, pathology findings, and complications were recorded. One hundred seventy -seven patients with a mean age of 62.84 +/- 12 years, 61.6% of whom were men, were included in the study. Radical nephrectomy was performed in 62.7% of cases, and partial nephrectomy in 37.3%. Laparoscopic surgical techniques were applied in 67% of the cases. The mean tumor size was 5.41 +/- 2.91 cm, mean operative time was 172.18 +/- 75.28 min, mean length of hospitalization was 6.42 +/- 4.27 days, and time from diagnosis to treatment was 52.37 +/- 5.21 days. Partial nephrectomy was superior to radical nephrectomy in terms of preserving kidney functions (p <0.001). Laparoscopic radical nephrecto my was associated with a shorter hospital stay (p <0.001) and a longer operative time (p <0.001). Partial nephrectomy effectively preserves oncological safety while protecting kidney functions in the surgical treatment of renal masses. Laparoscopic techniq ues are advantageous in terms of length of hospital stay and complication rates, but are associated with a longer operative time.
