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PURPOSE Partial nephrectomy (PN) is prioritized over radical nephrectomy (RN) in patients with chronic-kidney-disease (CKD) whenever feasible. However, we hypothesized that some patients with severe-CKD might rapidly progress to end-stage-renal-disease (ESRD), in which case the morbidity that can be associated with PN would not be justified. MATERIALS/METHODS A retrospective review of all 62 patients with stage-IV CKD undergoing PN at our institution (1999-2015) was performed. We analyzed preoperative/intraoperative factors and postoperati