Evidence map›Paper›PMID 29362655›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2017

Percutaneous radiofrequency and microwave ablation in the treatment of renal tumors - 10 years of experience.

Petr Dvorak, Petr Hoffmann, Milos Brodak, Josef Kosina, Jaroslav Pacovsky, Jan Raupach, Antonin Krajina

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Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Petr DvorakDepartment of Radiology, University Hospital, Hradec Kralove, Czech Republic.
Petr HoffmannDepartment of Radiology, University Hospital, Hradec Kralove, Czech Republic.
Milos BrodakDepartment of Urology, University Hospital, Hradec Kralove, Czech Republic.
Josef KosinaDepartment of Urology, University Hospital, Hradec Kralove, Czech Republic.
Jaroslav PacovskyDepartment of Urology, University Hospital, Hradec Kralove, Czech Republic.
Jan RaupachDepartment of Radiology, University Hospital, Hradec Kralove, Czech Republic.
Antonin KrajinaDepartment of Radiology, University Hospital, Hradec Kralove, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe standard radical treatment of renal cell carcinoma is surgical resection, but it is not suitable for patients with serious medical comorbidities and solitary kidney tumors. Minimally invasive ablation techniques could be an appropriate therapeutic alternative.

aimTo retrospectively evaluate the technical success, mid-term and long-term efficacy and safety of radiofrequency and microwave ablation in patients with small renal tumors. MATERIAL AND

methodsOver the course of 10 years, 91 ablation procedures in 64 patients for 68 tumors, of size 12-60 mm, were performed using only conscious sedation. These ablations were done under the guidance of computed tomography. We treated 41 males and 23 females with solitary kidney tumors (14 cases) and tumors in non-surgical candidates (54 cases).

resultsIn 50 (73.5%) tumors single treatment was successful; in 13 (19.1%) cases a second procedure was used successfully, and in the 5 largest tumors (sizes 45-60 mm, 7.4%) a third treatment was necessary. Within the follow-up 10 (15.6%) patients died, but none due to metastatic renal cell carcinoma. Only 1 serious complication was observed - retroperitoneal and psoatic hematoma. Early recurrence occurred in 18 (26.5%) tumors. Late recurrence was detected in 5 (7.4%) cases. In all cases complete local control of the renal tumors was reached.

conclusionsPercutaneous ablation is a very effective treatment for patients with small renal tumors of the T1a group with a minimal complication rate.

Indexed as

microwave ablationminimally invasive therapyradiofrequency ablationsmall renal tumors

Identifiers

PMID29362655
PMCPMC5776489

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