ABSTRACT
The diagnosis of a renal tumor in children is always accompanied by great apprehension in the family and caregivers. Preoperative management has been extensively described in the previous chapter. The surgeon is an important member of the team managing such patients. A detailed and well-organized surgical plan not only facilitates complete tumor removal without spillage but also ensures accurate staging and improves patient survival. Surgical approaches can differ depending on the suspected diagnosis and patient age.1 In order to decide on the best surgical strategy, several anatomic and physiologic points should be considered and deserve further discussion.
