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

[11]

Wen C.C., Nakada S.Y., Energy ablative techniques for treatment of small renal tumors, Curr Opin Urol, 16, pp. 321-326, (2006)

[12]

Desai M.M., Aron M., Gill I.S., Laparoscopic partial nephrectomy versus laparoscopic cryoablation for the small renal tumor, Urology, 66, pp. 23-28, (2005)

[13]

Luciani L.G., Cestari R., Tallarigo C., Incidental renal cell carcinoma-age and stage characterization and clinical implications: Study of 1092 patients, Urology, 56, pp. 58-62, (2000)

[14]

Shingleton W.B., Sewell P.E., Cryoablation of renal tumours in patients with solitary kidneys, BJU Int, 92, pp. 237-239, (2003)

[15]

Jacobsohn K.M., Ahrar K., Wood C.G., Matin S.F., Is radiofrequency ablation safe for solitary kidneys?, Urology, 69, 5, pp. 819-823, (2007)

[16]

Thompson R.H., Frank I., Lohse C.M., Et al., The impact of ischemia time during open nephron sparing surgery on solitary kidneys: A multi-institutional study, J Urol, 177, pp. 471-476, (2007)

[17]

Stern J.M., Svatek R., Park S., Et al., Intermediate comparison of partial nephrectomy and radiofrequency ablation for clinical T1a renal tumors, BJU Int, 100, pp. 287-290, (2007)

[18]

Frank I., Blute M.L., Cheville J.C., Et al., Solid renal tumors: An analysis of pathological features related to tumor size, J Urol, 170, pp. 2217-2220, (2003)

[19]

Chawla S.N., Crispen P.L., Hanlon A.L., Et al., The natural history of observed enhancing renal masses: Meta-analysis and review of the world literature, J Urol, 175, pp. 425-431, (2006)

[20]

Siu W., Hafez K.S., Johnston 3rd W.K., Wolf Jr J.S., Growth rates of renal cell carcinoma and oncocytoma under surveillance are similar, Urol Oncol, 25, pp. 115-119, (2007)

← 1 2 3 4 5 6 →