Technical aspects of Nephron-Sparing Surgery (NSS) in children with bilateral centrally located renal tumors

This technical review addresses surgical strategies for bilateral nephron-sparing surgery in children with centrally located renal tumors, where involvement of collecting systems and proximity to renal vessels pose significant challenges. The authors emphasize that experienced surgeons can achieve successful resections even in complex cases that appear unfavorable on imaging, potentially avoiding total nephrectomy.