Assessment of the effectveness of radiofrequency ablation as a technique for destroying small renal tumors in patients older than 70

Expediency of surgery in older patients with RCC and benefits of active surveillance (AS) are constantly under discussion. Because of age and associated cardiovascular risks, even fit older patients with small renal carcinomas often are not suitable for long-term invasive surgical options under gene...

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Bibliographic Details
Published in:Central European journal of urology 2020-10, Vol.73 (4), p.416-412
Main Authors: Lesnyak, Oleh, Stroy, Oleksandr, Banyra, Oleg, Nikitn, Oleg, Grytsyna, Yuriy, Hayda, Ihor, Chaplia, Mykola, Borzhievskyy, Andrii
Format: Article
Language:English
Subjects:
Ablation
Age
Comorbidity
Frailty
General anesthesia
Kidney cancer
Kidneys
Life expectancy
Older people
Radioisotopes
Surgery
Tumors
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Summary:Expediency of surgery in older patients with RCC and benefits of active surveillance (AS) are constantly under discussion. Because of age and associated cardiovascular risks, even fit older patients with small renal carcinomas often are not suitable for long-term invasive surgical options under general anesthesia, like partial nephrectomy or simple nephrectomy. [...]minimally invasive procedures, specifically those performed under local anesthesia, are preferred [13, 14]. [...]the tumor bed was carefully coagulated by means of diathermy for haemostasis, as well as for oncological reasons. In cases of larger tumors [n = 4 (10.3%) pts] combined with inconvenient localization, we did not achieve complete percutaneous tumor ablation as registered by US. [...]we performed an intraoperative conversion into open RFA through a small lumbar incision that allowed us to freely manoeuvre the electrode without additional percutaneous tracts.
ISSN:2080-4806
2080-4873
DOI:10.5173/ceju.0310