Radical nephrectomy for pT1a renal masses may be associated with decreased overall survival compared with partial nephrectomy.

By R. H. Thompson, S. Boorjian, Christine M. Lohse, B. Leibovich, E. Kwon, John C. Cheville, M. Blute, Hatem Amer, Julie K Heimbach, S. Taler and 2 more. Journal of Urology, 2008

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Partial nephrectomy versus radical nephrectomy in patients with small renal tumors--is there a difference in mortality and cardiovascular outcomes? (2009, background): “Expert’s comments: The incidence of RT is rising, partly due to incidental diagnosis with a stage shift where small RTs account for the majority of new cases [1].”
A prospective, randomised EORTC intergroup phase 3 study comparing the oncologic outcome of elective nephron-sparing surgery and radical nephrectomy for low-stage renal cell carcinoma. (2011, result): “This result is in contrast with results seen in the literature, which suggest that NSS may be beneficial in preventing CV morbidity and mortality [17,20,23].”
A prospective randomized EORTC intergroup phase 3 study comparing the complications of elective nephron-sparing surgery and radical nephrectomy for low-stage renal cell carcinoma. (2007, background): “Several nonrandomised studies have compared survival in patients treated with NSS or RN for T1 renal tumours [5,7,11,13,16–19].”