Tommy Kjærgaard Nielsen

Cryoablation of Renal Angiomyolipoma: An Evaluation of Safety and Efficacy

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Ahmad Makki, Aarhus Univ Hosp, Aarhus University, Dept Urol
  • ,
  • Ole Graumann, Odense Univ Hosp, Odense University Hospital, Dept Radiol
  • ,
  • Soren Hoyer
  • ,
  • Jan Solvig
  • ,
  • Oyvind Ostraat
  • ,
  • Mia Gebauer Madsen
  • ,
  • Tommy Kjaergaard Nielsen

Background: Small series have reported that cryoablation (CA) is a safe and feasible minimally invasive nephron-sparing alternative for the treatment of renal angiomyolipomas (renal AMLs). The aim of the present study was to investigate the safety and efficacy of CA in patients with renal AML. Materials and Methods: A retrospective review of 19 renal AML lesions treated with CA at Aarhus University Hospital, Denmark, over a 5-year period. Results: The treatment was performed as laparoscopy-assisted CA on 7 lesions, and in the remaining 12 lesions CA was performed as a percutaneous ultrasound-guided CA. The mean patient age was 46 years [interquartile range (IQR) 30] and the mean tumor volume was 50.1cm(3) (IQR 53.3). In all cases, the procedure was effectively conducted with no conversion to open surgery, and no major complications were experienced. The mean follow-up time was 25 months (IQR 13). Mean maximum tumor volume was reduced from 50.1cm(3) (IQR 53.3) to 12.2cm(3) (IQR 14.1), p=0.05. No patients presented with retroperitoneal hemorrhage or recurrence during follow-up. Conclusion: Treating renal AMLs with CA appears to be a safe and effective nephron-sparing approach and could be a valuable alternative to other treatment modalities. The low complication rate, absence of retreatment and a good preservation of renal function might allow treatment of even subclinical renal AMLs to minimize the risk of potentially life-threatening hemorrhage.

OriginalsprogEngelsk
TidsskriftJournal of Endourology
Vol/bind31
Nummer11
Sider (fra-til)1117-1122
Antal sider6
ISSN0892-7790
DOI
StatusUdgivet - nov. 2017

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