Midterm results of percutaneous microwave ablation under ultrasound guidance versus retroperitoneal laparoscopic radial nephrectomy for small renal cell carcinoma
Gespeichert in:
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)
Online Zugang:
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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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| 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 | ||