Open Nephron-Sparing Surgery for Renal Tumors is an Effective Surgical Option for Low HealthResource Settings in the Era of Laparoscopic Surgery.

The study concluded that open NSS is a secure procedure that maintains renal function without compromising oncological outcomes. A warm ischemia time of 20 min did not compromise oncological outcomes or renal function. Tumor sizes of 7 cm or more can be safely managed. A double-layer suturing technique and follow-up scheme using serum creatinine and CTU at three months and then annually seems practical and applicable even in low-currency income countries.