Comparison of the Efficacy of Percutaneous Microwave Ablation Therapy versus Laparoscopic Partial Nephrectomy for Early-Stage Renal Tumors

This study aimed to compare the efficacy of percutaneous microwave ablation therapy (MWAT) and laparoscopic partial nephrectomy (LPN) in early-stage renal cell carcinoma (RCC) classified as T1a; a retrospective analysis was conducted on patients treated between January 2017 and November 2023. Oncolo...

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Bibliographic Details
Published in:Diagnostics (Basel) 2024-07, Vol.14 (14), p.1574
Main Authors: Kula, Osman, Ateş, Yeliz, Çek, Hakkı Mete, Tozsin, Atınç, Günay, Burak, Akgül, Burak, Korkmaz, Selçuk, Karataş, Gökhan, Solak, Serdar, Ustabaşıoğlu, Fethi Emre, Arda, Ersan
Format: Article
Language:English
Subjects:
Abdomen
Ablation
Ablation (Surgery)
Catheters
General anesthesia
Health aspects
Kidney diseases
laparoscopic partial nephrectomy
Laparoscopic surgery
Laparoscopy
Magnetic resonance imaging
Patients
percutaneous microwave ablation therapy
renal cell carcinoma
Surgery
Tomography
Tumors
Ultrasonic imaging
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Summary:This study aimed to compare the efficacy of percutaneous microwave ablation therapy (MWAT) and laparoscopic partial nephrectomy (LPN) in early-stage renal cell carcinoma (RCC) classified as T1a; a retrospective analysis was conducted on patients treated between January 2017 and November 2023. Oncological outcomes, radiological recurrence, length of stay (LOS), and costs were evaluated. The study included 110 patients, with no significant differences between the two groups regarding residual tumors, local tumor progression, and disease-free survival rates ( > 0.05). The LPN group showed significantly lower pre/postoperative serum urea and creatinine and higher estimated glomerular filtration rate values, whereas the MWA group experienced significantly lower mean costs, complication rates, LOS in the hospital, and procedure durations ( ≤ 0.05). However, post-procedure residual tumors and local tumor progression rates did not differ significantly between the LPN and MWAT groups ( > 0.05). MWAT is as effective as LPN for T1a RCC lesions. In addition, MWAT has lower costs than LPN and is a cost-effective treatment method. Therefore, MWAT minimizes hospital stay and complications and since the oncological results are similar to LPN, it might be considered as the first choice of treatment in young patients.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics14141574