Midterm results of percutaneous microwave ablation under ultrasound guidance versus retroperitoneal laparoscopic radial nephrectomy for small renal cell carcinoma

Verfasser / Beitragende:
[Jie Yu, Guoming Zhang, Ping Liang, Xiao-ling Yu, Zhi-gang Cheng, Zhi-yu Han, Xu Zhang, Jun Dong, Qin-ying Li, Meng-juan Mu, Xin Li]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/8(2015-10-01), 3248-3256
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0500-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-015-0500-2 
245 0 0 |a Midterm results of percutaneous microwave ablation under ultrasound guidance versus retroperitoneal laparoscopic radial nephrectomy for small renal cell carcinoma  |h [Elektronische Daten]  |c [Jie Yu, Guoming Zhang, Ping Liang, Xiao-ling Yu, Zhi-gang Cheng, Zhi-yu Han, Xu Zhang, Jun Dong, Qin-ying Li, Meng-juan Mu, Xin Li] 
520 3 |a Laparoscopic radial nephrectomy (LRN) and microwave ablation (MWA) are optional treatment for renal cell carcinoma (RCC). However, the comparative study with two techniques remains lacking. The aim of this study was to evaluate midterm results of MWA vs. LRN in patients with small RCC. A total of 426 patients with ≤4cm RCC were included from April 2006 to October 2012. Ninety-eight patients underwent MWA and 328 patients LRN. The survival, recurrence, and renal function changes were compared between two treatments. Although overall survival after MWA (82.6% at 5years) was lower than those after LRN (98.6% at 5years, p=0.0004), the RCC-related survival (97% at 5years) was comparable to those following LRN (98% at 5years, p=0.38). One local tumor progress occurred at 32months after MWA and none after LRN. The major complication rates were comparable between two techniques (1.7% in MWA vs. 1.5% in LRN, p=0.75), but MWA showed less renal function damage than LRN (p<0.0001). The multivariate analysis showed the presence of postablation extrarenal metastasis may become a predictor of the oncologic outcome (p=0.059) and treatment modality had no influence (p=0.965). This study demonstrates thatMWA and LRN provide comparable results in small RCC outcomes. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Renal cell carcinoma  |2 nationallicence 
690 7 |a Microwave ablation  |2 nationallicence 
690 7 |a Laparoscopy  |2 nationallicence 
690 7 |a Nephrectomy  |2 nationallicence 
690 7 |a Survival  |2 nationallicence 
700 1 |a Yu  |D Jie  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
700 1 |a Zhang  |D Guoming  |u Department of Cardiology, The General Hospital of Jinan Military Region, 250031, Jinan, China  |4 aut 
700 1 |a Liang  |D Ping  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
700 1 |a Yu  |D Xiao-ling  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
700 1 |a Cheng  |D Zhi-gang  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
700 1 |a Han  |D Zhi-yu  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
700 1 |a Zhang  |D Xu  |u Department of Urology Surgery, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
700 1 |a Dong  |D Jun  |u Department of Urology Surgery, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
700 1 |a Li  |D Qin-ying  |u Department of Ultrasound, Puyang Traditional Chinese Medicine Hospital of Henan Province, 135 Shengli East Road, 457000, Puyang, China  |4 aut 
700 1 |a Mu  |D Meng-juan  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
700 1 |a Li  |D Xin  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/8(2015-10-01), 3248-3256  |x 0942-8925  |q 40:8<3248  |1 2015  |2 40  |o 261 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-015-0500-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yu  |D Jie  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhang  |D Guoming  |u Department of Cardiology, The General Hospital of Jinan Military Region, 250031, Jinan, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Liang  |D Ping  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yu  |D Xiao-ling  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cheng  |D Zhi-gang  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Han  |D Zhi-yu  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhang  |D Xu  |u Department of Urology Surgery, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dong  |D Jun  |u Department of Urology Surgery, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Li  |D Qin-ying  |u Department of Ultrasound, Puyang Traditional Chinese Medicine Hospital of Henan Province, 135 Shengli East Road, 457000, Puyang, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mu  |D Meng-juan  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Li  |D Xin  |u Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/8(2015-10-01), 3248-3256  |x 0942-8925  |q 40:8<3248  |1 2015  |2 40  |o 261