Analysis of radiofrequency ablation of small renal tumors in patients at high anesthetic and surgical risk: Urologist experience with follow-up results in the initial six months

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dc.contributor.authorYuksel M.B.
dc.contributor.authorKarakose A.
dc.contributor.authorGumus B.
dc.contributor.authorTarhan S.
dc.contributor.authorAtesci Y.Z.
dc.contributor.authorAkan Z.
dc.date.accessioned2024-07-22T08:18:39Z
dc.date.available2024-07-22T08:18:39Z
dc.date.issued2013
dc.description.abstractBackground: To evaluate the results of various types of radiofrequency ablation (RFA) treatment of renal tumors in patients with excessive anesthetic and surgical risk. Materials and Methods: Data for RFA performed in in high risk patients were retrospectively evaluated. Other RFA applications in patients with no anesthetic and/or surgical risk were excluded. RFA was by ultrasound or CT guided percutaneous (USG/CT-PRFA) and retroperitoneally or transperitoneally laparoscopic (R/T-LRFA) techniques under general or local anethesia. Follow-up data of enhanced CT or MRI after 1, 3 and 6 months were analysed for twelve RFA applications. Results: The RFA applications included 4 (40%) left-sided, 5 (50%) right-sided and 1 (10%) bilaterally RFA (simultaneously 1 right and 2 left). The localizations of tumors were 2 (16.6%) upper, 5 (41.6%) mid and 5 (41.6%) lower pole. The RFA applications included 9 (75%) USG-PRFA, 1 (8.3%) CT-PRFA, 1 (8.3%) T-LRFA and 1 (8.3%) R-LRFA. The mean age was 65.3±8.5 (52-76) years. The mean tumor size was 29.6±6.08 (15-40) mm. No complications related to the RFA were encountered in any of the cases. Failure (residual tumour) was determined in 8.3% (1/12) of USG-RFA application. The success rate was thus 91.7% (11/12). Other 1st, 3rd and 6th months follow-up data revealed no residua and recurrence. Conclusions: RFA application appears to be safe as a less invasive and effective treatment modality in selected cases of small renal tumors in individuals with excessive anesthetic and also surgical risk.
dc.identifier.DOI-ID10.7314/APJCP.2013.14.11.6637
dc.identifier.issn15137368
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/17372
dc.language.isoEnglish
dc.publisherAsian Pacific Organization for Cancer Prevention
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectAged
dc.subjectAnesthetics
dc.subjectCatheter Ablation
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectKidney Neoplasms
dc.subjectLaparoscopy
dc.subjectMagnetic Resonance Imaging
dc.subjectMiddle Aged
dc.subjectPrognosis
dc.subjectRetrospective Studies
dc.subjectTomography, X-Ray Computed
dc.subjectanesthetic agent
dc.subjectaged
dc.subjectcatheter ablation
dc.subjectcomputer assisted tomography
dc.subjectfollow up
dc.subjecthuman
dc.subjectKidney Neoplasms
dc.subjectlaparoscopy
dc.subjectmiddle aged
dc.subjectnuclear magnetic resonance imaging
dc.subjectpathology
dc.subjectprocedures
dc.subjectprognosis
dc.subjectretrospective study
dc.titleAnalysis of radiofrequency ablation of small renal tumors in patients at high anesthetic and surgical risk: Urologist experience with follow-up results in the initial six months
dc.typeArticle

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