Search our Database of Scientific Publications and Authors

I’m looking for a

    Details and Download Full Text PDF:
    [Renal tumors percutaneous ablation by microwave. Initial experience.]

    Arch Esp Urol 2017 Jun;70(5):525-533
    Residente de Urología. Hospital Universitario Reina Sofía.Córdoba. España.
    Objective: To analyze retrospectively the safety and effectiveness of percutaneous microwave ablation of solid renal tumors, and also review different approach techniques.

    Methods: It is a retrospective study approved by the ethics committee of both hospitals. 14 tumors with a mean size of 37 mm (12-50 mm) were treated in a single session, under general anesthesia and with CT guidance, in 14 patients (9 men) with a mean age of 66 years, using the ablation system AMICA by different approaches (trans pulmonary, trans peritoneal and retroperitoneal). A biopsy was performed with a core needle to 13 of them prior to ablation in the same session. CT abdominal follow-up was performed (with and without i.v. contrast) at 1, 3, 6, 12, 18 and 24 months after ablation. Changes in serum creatinine levels pre- and post-ablation were also analyzed.

    Results: The average follow-up time was 16.5 months (3-28 months) and we obtained complete response in 100% of the treated tumors. Only two minor complications were observed: one self-limited perirenal hemorrhage and one asymptomatic hydronephrosis, in the two patients to whom we did a transpulmonary approach, without pneumothorax in any of them.

    Conclusion: Percutaneous ablation of renal tumors seems to be a safe and effective technique, either via transpulmonary, transperitoneal or retroperitoneal approach, depending on tumor location.

    Key Points: • Microwave ablation produces coagulation necrosis. • The sink effect is smaller in microwave ablation. • Microwave ablation seems to be safe and effective. • The type of approach is not correlated with major complications (Clavien > o =II).

    Similar Publications

    Percutaneous radiofrequency ablation of renal tumors: technique, complications, and outcomes.
    J Vasc Interv Radiol 2005 May;16(5):679-88
    The Department of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center, 77030-4009, USA.
    Purpose: To report the safety, technical success, and effectiveness of percutaneous radiofrequency (RF) ablation for renal tumors.

    Materials And Methods: The authors retrospectively reviewed the medical records and imaging studies of 29 consecutive patients (18 men, 11 women; mean age, 65 +/- 2.62 years) with 30 renal tumors (mean diameter, 3. Read More
    Effect of Tumor Complexity and Technique on Efficacy and Complications after Percutaneous Microwave Ablation of Stage T1a Renal Cell Carcinoma: A Single-Center, Retrospective Study.
    Radiology 2017 Jul 11;284(1):272-280. Epub 2017 Jan 11.
    From the School of Medicine and Public Health (M.E.K.) and Departments of Urology (E.J.A., S.B., S.Y.N., J.L.H., C.L.B., F.T.L., S.A.W.), Radiology (T.J.Z., M.G.L., J.L.H., F.T.L.), and Biomedical Engineering (C.L.B., F.T.L.), University of Wisconsin, 600 Highland Ave, E3/376 Clinical Science Center, Madison, WI 53792.
    Purpose To evaluate the effects of tumor complexity and technique on early and midterm oncologic efficacy and rate of complications for 100 consecutive biopsy-proved stage T1a renal cell carcinomas (RCCs) treated with percutaneous microwave ablation. Materials and Methods This HIPAA-compliant, single-center retrospective study was approved by the institutional review board. The requirement to obtain informed consent was waived. Read More
    Ultrasound guided percutaneous microwave ablation for small renal cancer: initial experience.
    J Urol 2008 Sep 16;180(3):844-8; discussion 848. Epub 2008 Jul 16.
    Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
    Purpose: We evaluated the feasibility, safety and efficacy of ultrasound guided percutaneous microwave ablation for small renal cell cancers.

    Materials And Methods: A total of 12 patients with a pathologically proven renal cell cancer 1.3 to 3. Read More
    [Radiofrequency ablation of renal tumors: Practical aspects and results].
    Radiologia 2010 May-Jun;52(3):228-33. Epub 2010 Apr 8.
    Servicio de Radiología, Hospital Universitario Reina Sofía, Córdoba, España.
    Objectives: To report our experience in percutaneous radiofrequency ablation of renal tumors, emphasizing technical aspects and indications and analyzing our results.

    Material And Methods: We retrospectively analyzed 20 tumors in 13 patients (10 with a single kidney, 2 who had refused surgical treatment, and 1 with severe comorbidities). All procedures were carried out using the radiofrequency interstitial tumor ablation (RITA) technique under general anesthesia and CT guidance. Read More