Preoperative lipiodol marking improved safety and success rate on CT-guided cryoablation for small renal masses

2016 ◽  
Vol 15 (13) ◽  
pp. e1749
Author(s):  
F. Hongo ◽  
H. Ishida ◽  
K. Yano ◽  
M. Kanazawa ◽  
K. Kamoi ◽  
...  
2018 ◽  
Vol 199 (4S) ◽  
Author(s):  
Fumiya Hongo ◽  
Yasuihro Yamada ◽  
Kenji Hiraoka ◽  
Munehiro Ohashi ◽  
Atsuko Fujihara ◽  
...  

BMC Urology ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Fumiya Hongo ◽  
Yasuhiro Yamada ◽  
Takashi Ueda ◽  
Terukazu Nakmura ◽  
Yoshio Naya ◽  
...  

2020 ◽  
Vol 92 (4) ◽  
Author(s):  
Oscar Selvaggio ◽  
Giovanni Silecchia ◽  
Matteo Gravina ◽  
Ugo Giovanni Falagario ◽  
Giovanni Stallone ◽  
...  

Background: Today, the goal of surgery is to achieve oncological efficacy with the lowest complication rate. Computed Tomography (CT)-guided cryoablation is proposed as a safe and effective technique. We report, our series of small renal masses treated with cryoablation in elderly (> 70 years). Methods: From May 2014 to April 2019, 32 patients with median (IQR) age of 75.5 years (range 71-80) with small renal masses (< T1a) diagnosis, clinical anesthesia contraindications to nephron-sparing surgery or patient’s will previous informed consent have been selected at our Urology Department. All patients underwent CT-guided cryoablation, preceded by needle biopsy. The cryoablation consisted in a procedure with an argon/helium gas-based system under local anesthesia. The follow-up included CT abdomen at 3, 6 and 12 months. The definition of incomplete treatment was the persistence of the lesion contrast enhancement (CE) at the end of the scan; the definition of relapse was the appearance of the CE to the 6-month control CT.Results: The median follow-up was 30 months (IQR 1-59). The median size of the tumor was 3.85 cm (IQR 1.6-4.5). All patients underwent lesion biopsy resulting in diagnosis of Renal Cell Carcinoma (RCC) in 29 patients (90.7%) and oncocytoma in 3 patients (9.3%). A median of 2 cryoprobes (IQR 1- 3) was used and 2/3 cycles of freeze-thaw of the duration of 10 minutes or 5 minutes were performed. Complications were: 3 asymptomatic transitional perirenal effusion, 2 lumbar pain well-controlled by analgesic drug. Hospital stay was 2 days (range 1-3). No case showed incomplete treatment and local relapse or metastates at the CT abdomen-pelvis with contrast medium at 12 months. Conclusions: This study shows the efficacy and safety of percutaneous cryoablation of small renal masses in elderly population. The procedure is easy to perform, with low complication rates and well tolerated by the elderly patients.


2015 ◽  
Vol 14 (2) ◽  
pp. e1028-e1028a
Author(s):  
B. Eefting ◽  
M.G. Onaca ◽  
O. Wegelin ◽  
H.H.E. Van Melick ◽  
M.J.L. Van Strijen

2020 ◽  
Vol 23 (2) ◽  
pp. 100674
Author(s):  
Mohamed E. Abdelsalam ◽  
Kamran Ahrar

2006 ◽  
Vol 175 (4S) ◽  
pp. 229-229
Author(s):  
David C. Miller ◽  
John M. Hollingsworth ◽  
Khaled S. Hafez ◽  
Stephanie Daignault ◽  
Brent K. Hollenbeck

2004 ◽  
Vol 171 (4S) ◽  
pp. 507-507 ◽  
Author(s):  
Sanoj P. Punnen ◽  
Massoom A. Haider ◽  
Fenella Moulding ◽  
Martin O'Malley ◽  
Gina Lockwood ◽  
...  

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