Renal ablative cryosurgery in selected patients with peripheral renal masses

Ronald Rodriguez, David Y. Chan, Jay T. Bishoff, Roland B. Chen, Louis R. Kavoussi, Michael A. Choti, Fray F. Marshall

Research output: Contribution to journalArticle

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Abstract

Objectives. To present the preliminary results of renal ablative cryosurgery in selected patients.Methods. Seven patients were treated, all of whom had small peripheral tumors and chose not to undergo partial or radical nephrectomy. Four patients underwent a rib-sparing flank incision; the remaining three underwent laparoscopy. All tumors were biopsied before cryoablation. Intraoperative ultrasound was used to monitor the cryolesion.Results. There were no intraoperative complications. The estimated blood loss averaged 111 mL. To date, 6 of the 7 patients have undergone at least one follow-up computed tomography scan (14.2 months average follow-up); all these scans demonstrated partial resolution of the lesion. Clinically, the patients tolerated the procedure without any renal complications or significant changes in creatinine.Conclusions. This limited clinical trial has demonstrated the feasibility of treating small peripherally located renal tumors with cryosurgery with minimal morbidity and a favorable outcome. Further studies are necessary to determine the long-term efficacy of this treatment modality. Copyright (C) 2000 Elsevier Science Inc.

Original languageEnglish (US)
Pages (from-to)25-30
Number of pages6
JournalUrology
Volume55
Issue number1
DOIs
StatePublished - Jan 2000

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Cryosurgery
Kidney
Neoplasms
Intraoperative Complications
Ribs
Nephrectomy
Laparoscopy
Creatinine
Tomography
Clinical Trials
Morbidity

ASJC Scopus subject areas

  • Urology

Cite this

Rodriguez, R., Chan, D. Y., Bishoff, J. T., Chen, R. B., Kavoussi, L. R., Choti, M. A., & Marshall, F. F. (2000). Renal ablative cryosurgery in selected patients with peripheral renal masses. Urology, 55(1), 25-30. https://doi.org/10.1016/S0090-4295(99)00394-5

Renal ablative cryosurgery in selected patients with peripheral renal masses. / Rodriguez, Ronald; Chan, David Y.; Bishoff, Jay T.; Chen, Roland B.; Kavoussi, Louis R.; Choti, Michael A.; Marshall, Fray F.

In: Urology, Vol. 55, No. 1, 01.2000, p. 25-30.

Research output: Contribution to journalArticle

Rodriguez, R, Chan, DY, Bishoff, JT, Chen, RB, Kavoussi, LR, Choti, MA & Marshall, FF 2000, 'Renal ablative cryosurgery in selected patients with peripheral renal masses', Urology, vol. 55, no. 1, pp. 25-30. https://doi.org/10.1016/S0090-4295(99)00394-5
Rodriguez R, Chan DY, Bishoff JT, Chen RB, Kavoussi LR, Choti MA et al. Renal ablative cryosurgery in selected patients with peripheral renal masses. Urology. 2000 Jan;55(1):25-30. https://doi.org/10.1016/S0090-4295(99)00394-5
Rodriguez, Ronald ; Chan, David Y. ; Bishoff, Jay T. ; Chen, Roland B. ; Kavoussi, Louis R. ; Choti, Michael A. ; Marshall, Fray F. / Renal ablative cryosurgery in selected patients with peripheral renal masses. In: Urology. 2000 ; Vol. 55, No. 1. pp. 25-30.
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