Bachmann A, Sulser T, Jayet C, Wyler S, Ruszat R, Reich O, Gasser TC, Siebels M, Stief CG, Casella R. Retroperitoneoscopy-Assisted Cryoablation of Renal Tumors Using Multiple 1.5mm Ultrathin Cryoprobes: A Preliminary Report.
Eur Urol 2005;
47:474-9. [PMID:
15774244 DOI:
10.1016/j.eururo.2004.12.024]
[Citation(s) in RCA: 32] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2004] [Accepted: 12/28/2004] [Indexed: 01/02/2023]
Abstract
OBJECTIVES
Laparoscopic cryoablation has recently been proposed as a minimally invasive nephron-sparing treatment for selected patients. We report on our experience with a retroperitoneoscopic technique using multiple ultrathin cryoprobes.
METHODS
Seven patients underwent retroperitoneoscopic renal cryoablation for solid renal masses. Mean tumor size on the CT scan was 2.6 (1.5-3.5) cm. A double freeze-thaw cycle of renal cryoablation was performed under real-time ultrasound monitoring using a total of six 1.5-mm cryoprobes simultaneously.
RESULTS
Cryoablation was technically successful in all patients without any need for conversion. Mean duration of surgery was 161 (130-195) minutes and mean blood loss was 107 (50-250) ml. Perioperative biopsy of the tumor confirmed renal cell carcinoma in four patients and angiomyolipoma in two patients; it was inconclusive in one case. Mean follow-up for 13.6 (4-22) months showed no evidence of residual tumor or recurrence.
CONCLUSIONS
Retroperitoneoscopy-assisted cryosurgical ablation using multiple ultrathin 1.5-mm cryoprobes is a minimally invasive treatment that is suitable to treat small renal tumors.
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