Radiofrecuencia percutánea guiada por ecografía en el tratamiento de masas renales pequeñas

Trilla, E.; Konstantinidis, Charalampos; Serres, Xavier; Lorenté, David; Planas, Jacques; Placer, J.; Salvador, C.; Celma, Ana; Montealegre, C.; Morote, J.

doi:10.1016/j.acuro.2017.03.001

Cited by 3 publications

(1 citation statement)

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“…If required, a bowel hydrodissection, transhepatic approach or a cold saline solution irrigation through an ureteral tube were performed. The technique used in our center was described in detail by Trilla et al in 2017 [12]. Patients were evaluated in the urology clinic at 3, 6 and 12 months after treatment for the first year, then every 6 months for the following 4 years and yearly follow-ups thereafter, assessing clinical condition, renal function and imaging including a computed tomography (CT) scan and/or CEUS.…”

Section: Methodsmentioning

confidence: 99%

Association among the R.E.N.A.L. nephrometry score and clinical outcomes in patients with small renal masses treated with percutaneous contrast enhanced ultrasound radiofrequency ablation

Konstantinidis

Trilla

Serres

et al. 2019

Cent european J Urol

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Introduction An association between the R.E.N.A.L. nephrometry score (RNS) and clinical outcomes in patients with a small renal mass (SRM) has been proposed. We analyzed clinical outcomes according to the RNS in patients with a SRM treated with percutaneous contrast enhanced ultrasound (CEUS) radiofrequency ablation (RFA). Material and methods Patients with a SRM, who underwent RFA between January 2005 and March 2015, were retrospectively identified. The association between RNS and clinical outcomes was evaluated using parametric and non-parametric analysis. Results We analyzed 163 SRMs in 149 consecutive patients. The mean age was 71.7 years. Mean follow-up time was 33.3 months ±20.6 (2–102). The mean RNS was 5.6 ±1.52 (4–11). A total of 121 (74.2%) cases were of low complexity and 42 (25.8%) were medium complexity. We identified 11 cases of tumor persistence (6.7%). The mean RNS was 5.58 in the cases with no persistence and 5.73 in the cases with persistence (p = 0.788). We identified 15 (9.2%) cases of recurrence. The mean RNS was 5.57 ±0.1 (4–11) in the cases without recurrence and 5.73 ±0.4 (4–9) in recurrence cases (p = 0.804). Of the 76 biopsy proven RCC cases, 8 (10.5%) cases of recurrence were observed, 5 in the low complexity group and 3 in the medium complexity group (p = 0.690). A total of 9 (5.5%) cases of complications were observed, with 5 (4.3%) in the low complexity group and 4 cases in the medium complexity group (p = 0.23). The mean length of stay was 1.5 days with a significant difference between low and medium complexity groups (1.3 vs. 2.1 days, p = 0.02). The mean difference between preoperative eGFR and estimated eGFRat 12 months was -3.08 mL / min ±13.3 (-49.4–34.1) and was significant (p = 0.008).However, this variation did not show significant differences between the low and medium complexity groups (p = 0.936). All-cause mortality was 11.7%, 14 cases (11.6%) in the low complexity group and 5 (11.9%) in the medium complexity group (p = 1.0). No cases of renal cell carcinoma (RCC) specific mortality were identified. Conclusions The RNS was not associated with tumor persistence, recurrence, cancer specific mortality, complications or renal function 12 months after the first treatment, showing significant difference only in length of hospital stay between low and medium complexity groups.

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Section: Methodsmentioning

confidence: 99%

Association among the R.E.N.A.L. nephrometry score and clinical outcomes in patients with small renal masses treated with percutaneous contrast enhanced ultrasound radiofrequency ablation

Konstantinidis

Trilla

Serres

et al. 2019

Cent european J Urol

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Radioablación por laparoscopia de masas renales pequeñas en pacientes octogenarios: técnica paso a paso

et al. 2018

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). Palabras Clave► tumores renales pequeños ► ablación por radiofrecuencia ► nefrectomía parcial ► cirugía conservadora de nefronas ► supervivencia libre de enfermedad ResumenIntroducción La cirugía preservadora de nefronas sigue siendo el gold standard de manejo en pacientes con tumores renales pequeños. La ablación por radiofrecuencia es una alternativa mínimamente invasiva con evidencia sustancial en efectividad en la erradicación tumoral completa.Objetivo Reportar el caso y la técnica paso a paso de la radioablación laparoscópica de un tumor renal en un centro de oncología de III nivel de Bogotá -Colombia. Materiales y Métodos Revisión de la historia clínica de un paciente con hallazgo incidental de una masa renal pequeña sometido a radioablación laparoscópica en un centro de oncología de III nivel de Bogotá. Conclusión La ablación por radiofrecuencia es una alternativa válida para el tratamiento de tumores renales pequeños, especialmente en adultos mayores y con alto riesgo quirúrgico, ofreciendo tasas de supervivencia libre de enfermedad comparables con la nefrectomía parcial. Keywords► small renal tumors ► radiofrequency ablation ► partial nephrectomy ► nephron conservative surgery ► disease free survival AbstractIntroduction Nephron-sparing surgery remains the gold standard of management in patients with small renal tumors. Radiofrequency ablation is a minimally invasive alternative with substantial evidence of effectiveness in complete tumor eradication. Objective To describe a case and laparoscopic radioablation step by step technique of a renal tumor in an oncology center of III level in Bogotá -Colombia. Materials and Methods Review of the clinical history of a patient with an incidental finding of small renal mass undergoing laparoscopic radioablation at a level III oncology center in Bogotá. Conclusion Radiofrequency ablation is a valid alternative for the treatment of small renal tumors, especially in older adults with high surgical risk, offering disease free survival rates comparable to partial nephrectomy.

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Evaluation of Analgesia Effect after Ultrasound-Guided Laparoscopic Renal Surgery

You

Liu

2021

Computational and Mathematical Methods in Medicine

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Kidney surgery involves placing the kidney in the iliac fossa of the lower abdomen on the right or left side. Studies have found that most kidney patients experience moderate to severe pain after surgery. The stress response caused by postoperative pain, especially visceral pain, not only aggravates the patient’s pain and irritability and aggravates the original complications but may also harm the early recovery of renal function and affect the survival of the kidney. Therefore, adequate postoperative analgesia for renal patients is essential. This paper combines ultrasound-guided laparoscopic technology to improve the postoperative analgesia effect of renal surgery and compares the data with experimental research methods. Through experimental research, it can be seen that the method proposed in this article has a certain effect, and ultrasound-guided laparoscopic technology can be used in follow-up clinical research to improve the analgesic effect of renal surgery.

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Radiofrecuencia percutánea guiada por ecografía en el tratamiento de masas renales pequeñas

Cited by 3 publications

References 30 publications

Association among the R.E.N.A.L. nephrometry score and clinical outcomes in patients with small renal masses treated with percutaneous contrast enhanced ultrasound radiofrequency ablation

Association among the R.E.N.A.L. nephrometry score and clinical outcomes in patients with small renal masses treated with percutaneous contrast enhanced ultrasound radiofrequency ablation

Radioablación por laparoscopia de masas renales pequeñas en pacientes octogenarios: técnica paso a paso

Evaluation of Analgesia Effect after Ultrasound-Guided Laparoscopic Renal Surgery

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