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Minimally invasive surgery using ablative modalities for the localized renal mass.

Publication ,  Journal Article
Kimura, M; Baba, S; Polascik, TJ
Published in: Int J Urol
March 2010

Due to a number of evolving devices and modalities to treat the small, localized renal mass, the physician and patient have the opportunity to choose an appropriate therapy from several treatment options. Minimally invasive surgery to ablate a localized renal tumor is an alternative strategy to nephron-sparing surgery for the small renal mass. Even though partial nephrectomy has been established as an optimal technique for nephron-sparing surgery, patients who have comorbidities and renal insufficiency would potentially benefit from less invasive treatment. With respect to those concerns, several articles are discussed here regarding thermal ablative therapy for the small renal mass along with oncological outcomes and complications among these modalities compared to conventional procedures. In this review, a comprehensive PubMed search was conducted. For the purposes of reviewing the current status of thermal ablative modalities for the small renal mass, only articles written in English published from 1992 to 2009 were considered. Cryoablation and radiofrequency ablation are the most utilized and potentially promising therapies that are evolving as nephron-sparing minimally invasive surgery for patients with a localized renal tumor. High-intensity focused ultrasound, a relatively new modality to treat the renal mass, needs further study. All modalities require long-term follow up with unified reporting methods in terms of patient selection, pre- and post-treatment evaluation, treatment description, and analysis of outcome.

Duke Scholars

Published In

Int J Urol

DOI

EISSN

1442-2042

Publication Date

March 2010

Volume

17

Issue

3

Start / End Page

215 / 227

Location

Australia

Related Subject Headings

  • Urology & Nephrology
  • Minimally Invasive Surgical Procedures
  • Kidney Neoplasms
  • Humans
  • Cryosurgery
  • Catheter Ablation
  • Carcinoma, Renal Cell
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
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ICMJE
MLA
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Kimura, M., Baba, S., & Polascik, T. J. (2010). Minimally invasive surgery using ablative modalities for the localized renal mass. Int J Urol, 17(3), 215–227. https://doi.org/10.1111/j.1442-2042.2009.02445.x
Kimura, Masaki, Shiro Baba, and Thomas J. Polascik. “Minimally invasive surgery using ablative modalities for the localized renal mass.Int J Urol 17, no. 3 (March 2010): 215–27. https://doi.org/10.1111/j.1442-2042.2009.02445.x.
Kimura M, Baba S, Polascik TJ. Minimally invasive surgery using ablative modalities for the localized renal mass. Int J Urol. 2010 Mar;17(3):215–27.
Kimura, Masaki, et al. “Minimally invasive surgery using ablative modalities for the localized renal mass.Int J Urol, vol. 17, no. 3, Mar. 2010, pp. 215–27. Pubmed, doi:10.1111/j.1442-2042.2009.02445.x.
Kimura M, Baba S, Polascik TJ. Minimally invasive surgery using ablative modalities for the localized renal mass. Int J Urol. 2010 Mar;17(3):215–227.
Journal cover image

Published In

Int J Urol

DOI

EISSN

1442-2042

Publication Date

March 2010

Volume

17

Issue

3

Start / End Page

215 / 227

Location

Australia

Related Subject Headings

  • Urology & Nephrology
  • Minimally Invasive Surgical Procedures
  • Kidney Neoplasms
  • Humans
  • Cryosurgery
  • Catheter Ablation
  • Carcinoma, Renal Cell
  • 3202 Clinical sciences
  • 1103 Clinical Sciences