Quiroz CO, de la Torre CKG

Language: Spanish
References: 7
Page: 62-68
PDF size: 768.80 Kb.

ABSTRACT

The treatment of various diseases with minimally invasive therapy has become a key element in reducing perioperative complications. Among the different minimally invasive treatments cryotherapy is often used in urology to treat different types of cancers, especially renal cancer. In renal cancer due to increased use of the sectional image taken almost 70% of new renal masses are detected in stage T1 which makes them more susceptible to minimally invasive therapy respecting the largest number of nephrons, it may be a partial nephrectomy, either laparoscopic or robotic or an ablative therapy. This article reviews the results and cryotherapy technique when compared with other treatments and the possible use of cryotherapy in surgery.

REFERENCES

1. Rioja J, Tzorzis V, Mamoulakis C, Laguna MP. Crioterapia de tumores renales: estado actual y desarrollos contemporáneos. Actas Urol Esp. 2010; 34 (4): 309-317.

2. Chow WH, Devesa SS, Warren JL, Fraumeni Jr JF. Rising incidence of renal cell cancer in the United States. JAMA. 1999; 281: 1628-1631.

3. Lee CT, Katz J, Shi W, Thaler HT, Reuter VE, Russo P. Surgical management of renal tumors 4 cm or less in a contemporary cohort. J Urol. 2000; 163: 730-736.

4. Allen BC, Remer EM. Percutaneous cryoablation of renal tumors: patient selection, technique and postprocedural imaging. Radiographics. 2010; 30: 887-900.

5. Munver R, Disick GI, Lombardo SA, Bargman VG, Sawczuk IS. Cryoablation of small renal tumors in patients with solitary kidneys: initial experience. Adv Urol. 2008: 197324.

6. Atwell TD, Farrell MA, Callstrom MR, Charboneau JW, Leibovich BC, Patterson DE et al. Percutaneous cryoablation of 40 solid renal tumors with US guidance and CT monitoring: initial experience. Radiology. 2007; 243 (1): 276-283.

7. Gill IS, Remer EM, Hasan WA, Strzempkowski B, Spaliviero M, Steinberg AP et al. Renal cryoablation: outcome at 3 years. J Urol. 2005; 173 (6): 1903-1907.