Abstract:
BACKGROUND AND PURPOSE:The introduction of radiofrequency ablation (RFA) into other fields of surgery has fueled the interest to study its application in small renal masses (SRM). Some controversies remain, however, regarding its oncologic efficacy. We review technical factors and tissue characteristics that influence treatment success, discuss the evaluation of treatment success by post-treatment imaging and histopathology, and highlight intermediate-term oncologic outcomes of recent, larger RFA series. MATERIALS AND METHODS:A search of the MEDLINE database regarding the treatment of SRM by RFA was performed from 2003 through August 2009. For the purpose of describing technical factors and tissue characteristics that influence treatment success and the evaluation of treatment success by imaging and histopathology, articles were selected when they provided detailed descriptions of one or more of these items. For the analysis of oncologic outcomes, the selection was limited to series in which a minimum of 20 patients were treated and that provided effectiveness based on follow-up imaging. RESULTS:Technical evolutions and correct patient/tumor selection have led to increasingly higher success rates being achieved by RFA. Even though tumor skipping has been described in preclinical studies and early clinical studies, this does not seem to influence final success. Indeed, a 8.6% re-treatment rate has to be taken into account. Accepting this, the final ablative success rate is 93.8% at intermediate-term follow-up. Complications after RFA are less frequent and more often minor compared with surgical series. CONCLUSIONS:The present analysis reveals that RFA achieves a high intermediate-term ablative success rate when accepting a 8.6% reablation rate. Complication rates are low and mostly minor. Those facts render RFA an attractive minimally invasive treatment for SRM, especially in the growing elderly patient population with multiple comorbidities. Long-term follow-up data are expected to confirm the role of RFA in the management of SRM.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Joniau S,Tailly T,Goeman L,Blyweert W,Gontero P,Joyce Adoi
10.1089/end.2009.0677subject
Has Abstractpub_date
2010-05-01 00:00:00pages
721-8issue
5eissn
0892-7790issn
1557-900Xjournal_volume
24pub_type
杂志文章,评审abstract::Laparoscopy has become the essential surgical approach to the adrenal gland at many institutions, including ours. At the Cleveland Clinic, laparoscopic adrenalectomy for benign and malignant adrenal neoplasms can be performed by either the transperitoneal or the retroperitoneal approach. Herein, we present our techniq...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901750299302
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:To evaluate in vitro and in vivo effects of Moses technology in Holmium laser and to compare it with the Regular mode in terms of lithotripsy efficiency and laser-tissue interactions. METHODS:The Lumenis® Pulse™ P120H holmium laser system together with Moses D/F/L fibers were used to compare the Regular mode...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0050
更新日期:2017-06-01 00:00:00
abstract:PURPOSE:To report the outcomes of patients with ureteroenteric strictures after ileal conduit urinary diversion that were managed with Resonance metallic ureteral stents. PATIENTS AND METHODS:Ten ureteroenteric strictures in patients with ileal conduits that were managed with metallic ureteral stenting were retrospect...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0454
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Helical CT has become the preferred method for imaging urinary calculi, and so it would be useful if data from helical CT could also be used to predict the number of shockwaves (SWs) needed to break a given stone. METHODS AND MATERIALS:We measured the number of SWs required to comminute calcium ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.471
更新日期:2000-08-01 00:00:00
abstract:AIM:To evaluate whether the overall safety and efficacy profile of percutaneous surgery for urinary stone disease in older (>70 years) patients might influence the decision for the procedure in the elderly. MATERIALS AND METHODS:A large database was created from our patients (n = 1058) who underwent percutaneous surge...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0432
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:To assess the current treatment of benign prostatic obstruction (BPO) in patients on ongoing oral anticoagulation (OA). METHODS:An Internet survey was sent to all active members of the Endourological Society. The survey contained 32 questions regarding transurethral treatment of BPO in patients on ongoing OA...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0627
更新日期:2017-02-01 00:00:00
abstract:: Background: To examine the impact of the Mayo adhesive probability (MAP) score on the surgical complexity of exposing the tumor during laparoscopic partial nephrectomy (LPN). Patients and Methods: Our study included 318 patient...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0687
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Retrograde ureteroscopic marsupialization is a pure natural orifice translumenal endoscopic surgery (NOTES). We retrospectively examined the feasibility and safety of this technique to manage symptomatic simple renal cysts. PATIENTS AND METHODS:Sixteen patients with simple renal cysts were selec...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0676
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:As the indications for topical hemostatic agents increase in urology, the question arises: what happens to these agents when they enter the urinary collecting system? To answer this question, we performed a series of in-vitro experiments mixing three hemostatic agents with normal and sanguineous ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.312
更新日期:2005-04-01 00:00:00
abstract:INTRODUCTION/PURPOSE:Medical simulation offers the advantage of improving resident skill and comfort without impacting patient care. Five years ago, we identified trends in the use of robotic and laparoscopic simulation in 2008 and 2009 at American urology residency training programs. We seek to identify the changes in...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0561
更新日期:2016-03-01 00:00:00
abstract::To assess the durability of the results of transurethral microwave thermotherapy (TUMT) for symptomatic benign prostatic hyperplasia (BPH), we have reviewed publications describing trials with at least 3 years of follow-up. For men treated only by TUMT, improvement in symptoms and quality of life appears to be maintai...
journal_title:Journal of endourology
pub_type: 杂志文章,meta分析
doi:10.1089/end.2000.14.671
更新日期:2000-10-01 00:00:00
abstract:PURPOSE:To determine the effects on semen of extracorporeal shockwave lithotripsy for distal-ureteral stones. PATIENTS AND METHODS:We examined the semen of 62 patients 1 day before and 1 week and 3 months after SWL for distal-ureteral stones. The results were compared with those of 62 patients similarly treated for up...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.483
更新日期:2006-07-01 00:00:00
abstract::A 55-year-old man had a solid tumor in the right part of a horseshoe kidney. He had previously undergone open cholecystectomy and appendectomy with panperitonitis. Retroperitoneoscopic nephrectomy was performed, with rapid recovery and good short-term results. This appears to be the first case of endoscopic surgery on...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903772036253
更新日期:2003-12-01 00:00:00
abstract:PURPOSE:To present our preliminary experience with laparoscopic renal cryoablation in patients with small renal tumors and severe comorbidities. PATIENTS AND METHODS:Eight patients with a mean age of 75.6 years (range 68-82 years) who had small (mean 2.6+/-0.7-cm; range 1.4-3.8-cm) peripheral renal cortical lesions an...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903767923227
更新日期:2003-08-01 00:00:00
abstract:PURPOSE:To assess the safety and efficacy of conversion from pure laparoscopy to hand-assisted laparoscopy to control mild-to-moderate bleeding during renal surgery. PATIENTS AND METHODS:Between August 2006 and August 2008, we performed 94 laparoscopic nephrectomies (44 partial and 50 radical). A total of three radica...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0321
更新日期:2011-01-01 00:00:00
abstract:: Introduction and Objective: Current available lithotrites have clinical stone clearance rates averaging 24 to 32 mm2/minute. The objective of this study was to critically evaluate the initial experience with the Swiss LithoClast ® ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0561
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the role of color-coded Doppler sonography (CCDS) in the assessment of internal ureteral stent patency. PATIENTS AND METHODS:We compared micturating cystography (MC) and CCDS in 48 patients with internal ureteral stents. Forty-five of these patients had pyelocaliectasis on renal sonography. RESU...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.1999.13.199
更新日期:1999-04-01 00:00:00
abstract::Because it is still a puzzling debate whether ligation of a unilateral varicose spermatic vein is worth performing by laparoscopy, even with the two-port technique, we conducted a study in which 280 patients with palpable left varicoceles were treated with spermatic vein ligation either by open surgery (120 patients) ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1996.10.435
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Several experienced practitioners of open surgery with limited or no laparoscopic background have adopted robot-assisted laparoscopic radical prostatectomy (RLRP) as an alternative to open radical prostatectomy (RRP), demonstrating outcomes comparable to those in large RRP and laparoscopic prosta...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0239
更新日期:2007-04-01 00:00:00
abstract:INTRODUCTION:Expert-reported outcomes and complications may not reflect the standardized coding that can be provided by independent, third-party evaluations. The goal of this article is to compare expert-reported complications with standardized coding by the National Surgical Quality Improvement Program (NSQIP). The pr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0178
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Repair of ureteral injuries and strictures often necessitates a major reconstructive procedure such as a psoas hitch, Boari flap, renal mobilization, ileal interposition, or autotransplantation. Tissue expanders have been used to elongate nerves and arteries. We examined the effects of acute ur...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.245
更新日期:1999-05-01 00:00:00
abstract:PURPOSE:Retroperitoneal lymph node dissection is the most sensitive and specific diagnostic modality for detecting occult lymph node metastases in clinical stage I testicular tumor. In stage II disease, residual tumors after chemotherapy have to be removed surgically. To reduce the morbidity of these procedures we have...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901300189538
更新日期:2001-05-01 00:00:00
abstract:PURPOSE:This study was to evaluate the effect of intraoperative continuous infusion of dexmedetomidine on intraocular pressure (IOP) in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALRP) in the steep Trendelenburg (ST). MATERIALS AND METHODS:Sixty-eight patients were randomly divided into tw...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2014.0381
更新日期:2015-03-01 00:00:00
abstract:: Purpose: We assessed the ability of enhanced cystoscopy with CHROMA image enhancement (Karl Storz SE & Co. KG, Tuttlingen, Germany) to improve cancer detection during transurethral resection of bladder tumors (TURBT) in patients with known or suspected nonmuscle invasive b...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0821
更新日期:2020-12-04 00:00:00
abstract:: Objectives: To assess the effect of irrigation settings and the size of ureteral access sheath (UAS) on the maximal intra-pelvic pressure (IPPmax) during ureteroscopy (URS) in pigs. Materials and Methods: In supine position, th...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0317
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A crucial step in laparoscopic nephrectomy is control and ligation of the renal pedicle. Commonly, an endovascular gastrointestinal anastomosis (GIA) stapling device, titanium staples, or both is employed for vascular control. Herein, we report on the use of the Hem-o-Lok polymer ligating clip (W...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/0892779041271490
更新日期:2004-06-01 00:00:00
abstract:PURPOSE:Excessive bulking force during ureteral access sheath (UAS) placement may induce injury. The sliding friction between surfaces can be reduced with the application of ultrasonic vibration. We investigated the efficacy and safety of an ultrasonic vibration transducing device for reducing the maximal ureteral acce...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2018.0772
更新日期:2019-02-01 00:00:00
abstract:: Introduction: A number of clinical and radiological predictors of either stone impaction or ureteral stone passage (SP) have been proposed. We aimed at identifying the key predictors of successful SP by using readily available CT-based tools/measurements. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0645
更新日期:2020-10-27 00:00:00
abstract::Urinary incontinence may be the result of various forms of detrusor overactivity. Several surgical therapies have been devised, but with the exception of procedures to relieve urethral obstruction, none abolishes the overactivity or restores normal micturition. In general, ablative neurosurgery is considered only in p...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1996.10.213
更新日期:1996-06-01 00:00:00
abstract:PURPOSE:To assess application of cystatin C and neutrophil gelatinase-associated lipocalin (NGAL) as biomarkers for renal ischemic injury. We also evaluated the use of allopurinol as a renoprotective agent. A second goal was to assess cystatin C as a biomarker in patients undergoing partial nephrectomy. METHODS:Using ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0198
更新日期:2013-12-01 00:00:00