Kidney cancer ablative therapy: Indications and patient selection

被引：9

作者：

Lehman D.S. ^{[1
]}

Landman J. ^{[1
]}

机构：

[1] Department of Urology, Columbia University School of Medicine, New York, NY 10032

来源：

Current Urology Reports | 2008年 / 9卷 / 1期

关键词：

Radiofrequency Ablation; Renal Tumor; Partial Nephrectomy; Renal Mass; Radio Frequency Ablation;

D O I：

10.1007/s11934-008-0008-1

中图分类号：

学科分类号：

摘要：

The increased application of radiographic imaging has paralleled a simultaneous increase in the detection of incidental and asymptomatic renal neoplasms. The reference standard for treating small renal tumors includes open and laparoscopic partial nephrectomy. The primary objectives of ablative renal procedures are to duplicate the excellent oncologic outcomes of partial nephrectomy while decreasing patient morbidity and shortening hospitalization and overall convalescence. Ablation, with cryotherapy or radiofrequency probes, offers the advantages of minimally invasive surgery, but with a significantly lower complication rate than laparoscopic partial nephrectomy. Ablation now represents a major change in surgical thinking as tumors are ablated and left in situ. This article reviews the status of the two ablative modalities currently available for clinical application, cryoablation and radiofrequency ablation. Copyright © 2008 by Current Medicine Group LLC.

引用

页码：34 / 42

页数：8

共 56 条

[1]

McKiernan J., Yossepowitch O., Kattan M.W., Et al., Partial nephrectomy for renal cortical tumors: Pathologic findings and impact on outcome, Urology, 60, pp. 1003-1009, (2002)

[2]

Matin S.F., Gill I., Worley S., Novick A.C., Outcome of laparoscopic radical and open partial nephrectomy for the sporadic 4 cm or less renal tumor with a normal contralateral kidney, J Urol, 168, pp. 1356-1360, (2002)

[3]

Weld K.J., Venkatesh R., Huang T., Landman J., Evolution of surgical technique and related patient outcomes for laparoscopic partial nephrectomy, Urology, 67, pp. 502-506, (2006)

[4]

Lotan Y., Duchene D.A., Cadeddu J.A., Et al., Changing management of organ-confined renal masses, J Endourol, 18, pp. 263-268, (2004)

[5]

Pavlovich C.P., Schmidt L.S., Searching for the hereditary causes of renal cell carcinoma, Nat Rev Cancer, 4, pp. 381-393, (2004)

[6]

Kovacs G., Akhtar M., Beckwith B.J., Et al., The Heidelberg classification of renal cell tumours, J Pathol, 183, pp. 131-133, (1997)

[7]

McKiernan J., Yossepowitch O., Kattan M.W., Et al., Partial nephrectomy for renal cortical tumors: Pathologic findings and impact on outcome, Urology, 60, pp. 1003-1009, (2002)

[8]

Hoffmann N.E., Bischof J.C., The cryobiology of cryosurgical injury, Urology, 60, pp. 40-49, (2002)

[9]

Bischof J.C., Smith D.J., Pazhayannur P.V., Cryosurgery of Dunning AT-1 rat prostate tumor: Thermal, biophysical, and viability response at the cellular and tissue level, Cryobiology, 34, pp. 42-69, (1997)

[10]

Johnson D.B., Duchene D.A., Taylor G.D., Et al., Contrast-enhanced ultrasound evaluation of radiofrequency ablation of the kidney: Reliable imaging of the thermolesion, J Endourol, 19, pp. 248-252, (2005)

← 1 2 3 4 5 6 →