Comparison of percutaneous and surgical approaches to renal tumor ablation: metaanalysis of effectiveness and complication rates

Journal of Vascular and Interventional Radiology : JVIR
Gladwin C HuiStuart G Silverman

Abstract

To determine the effectiveness and complication rates of ablation of renal cell carcinoma (RCC) performed with a percutaneous approach versus a surgical approach. A search performed on PubMed identified series of renal tumor ablations. Keywords searched included "radiofrequency" (RF), "cryoablation", "cryosurgery", "cryotherapy", "ablation", "renal", "kidney", and "RCC". Review articles were excluded from the search of English-language literature from January 1996 through August 2006. Inclusion criteria were (i) more than one case, (ii) use of RF ablation or cryoablation, (iii) effectiveness based on follow-up imaging, and (iv) report of complication rate. Effectiveness was defined by the proportion of tumors without residual enhancement after one treatment session (ie, primary effectiveness) or after repeated treatments (ie, secondary effectiveness). Major complications were defined as events with substantial morbidity, disability, or increasing level of care. Metaanalysis was performed on primary effectiveness, secondary effectiveness, and major complication rates with a random-effects model. Differences were considered significant if the 95% CIs did not overlap. Forty-six series (28 percutaneous, 18 surgical) met all inclusi...Continue Reading

References

Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Feb 11, 1998·Radiology·S G SilvermanB L Holman
Dec 1, 2000·The Urologic Clinics of North America·R N ChenI S Gill
Jul 4, 2001·The Journal of Urology·R G Uzzo, A C Novick
Apr 17, 2002·The Journal of Urology·Thierry de BaereAlain Roche
Jul 12, 2002·Statistics in Medicine·Julian P T Higgins, Simon G Thompson
Mar 21, 2003·AJR. American Journal of Roentgenology·Shuvro H Roy-ChoudhuryDavid J Breen
Jul 31, 2003·BJU International·W B Shingleton, P E Sewell
Sep 23, 2003·The Journal of Urology·Robert B NadlerHerbert M User
Nov 25, 2003·The Journal of Urology·Igor FrankHorst Zincke
Apr 13, 2004·The Journal of Urology·J J HwangB J Wood
Jun 23, 2004·AJR. American Journal of Roentgenology·Ronald J ZagoriaMichael Y Chen
Jul 16, 2004·Journal of Endourology·Timothy D MoonStephen Y Nakada
Aug 31, 2004·AJR. American Journal of Roentgenology·Kemal TuncaliStuart G Silverman
Sep 17, 2004·The Journal of Urology·Andrea CestariPatrizio Rigatti
Sep 28, 2004·Clinical Cancer Research : an Official Journal of the American Association for Cancer Research·Andrew C Novick
Jan 25, 2005·International Journal of Urology : Official Journal of the Japanese Urological Association·Osamu UkimuraTsuneharu Miki
Mar 10, 2005·European Radiology·Debra A GervaisPeter R Mueller
Apr 16, 2005·The Cancer Journal·Edouard J TrabulsiLeonard G Gomella
May 6, 2005·Journal of Vascular and Interventional Radiology : JVIR·Kamran AhrarMarshall E Hicks
May 10, 2005·The Journal of Urology·Inderbir S GillAndrew C Novick
May 11, 2005·Urology·Edward D MatsumotoJeffrey A Cadeddu
May 25, 2005·Journal of the Chinese Medical Association : JCMA·Yi-You ChiouCheng-Yen Chang
May 25, 2005·Journal of Endourology·John L GorePeter Schulam
Jun 11, 2005·Journal of Vascular and Interventional Radiology : JVIR·S Nahum GoldbergUNKNOWN Society of Interventional Radiology Technology Assessment Committee
Jul 12, 2005·The Journal of Urology·Ioannis M VarkarakisStephen B Solomon
Aug 6, 2005·Magnetic Resonance in Medical Sciences : MRMS : an Official Journal of Japan Society of Magnetic Resonance in Medicine·Takuji MogamiJunta Harada
Nov 11, 2005·Clinical Trials : Journal of the Society for Clinical Trials·Jonathan A CookPeter Fayers
Dec 20, 2005·Urology·Alon Z WeizerThomas J Polascik
Feb 1, 2006·Cardiovascular and Interventional Radiology·Rohan Sabharwal, Philip Vladica
Mar 29, 2006·Journal of Vascular and Interventional Radiology : JVIR·Timothy W I ClarkA J Wein
May 20, 2006·Radiology·Stuart G SilvermanEdmund S Cibas
May 27, 2006·European Journal of Radiology·Mazda MemarsadeghiJoachim Kettenbach
Jul 22, 2006·Urology·Patrick E DavolDaniel B Rukstalis
Jul 22, 2006·Urology·Bradley F SchwartzJ Clifton Vestal
Aug 3, 2006·International Journal of Urology : Official Journal of the Japanese Urological Association·Kenta MikiShin Egawa
Oct 24, 2006·Journal of Vascular and Interventional Radiology : JVIR·Timothy W I ClarkJohn F Cardella
Jan 24, 2007·CA: a Cancer Journal for Clinicians·Ahmedin JemalMichael J Thun

❮ Previous
Next ❯

Citations

Oct 5, 2011·Abdominal Imaging·Jason D IannuccilliWilliam W Mayo-Smith
Jun 15, 2010·Cardiovascular and Interventional Radiology·David J Breen, Nicholas J Railton
Oct 21, 2011·Cardiovascular and Interventional Radiology·Judith BooneWarner Prevoo
Jan 31, 2013·Cardiovascular and Interventional Radiology·Pushpender GuptaRonald J Zagoria
Feb 24, 2010·World Journal of Urology·Mesut RemziMehmet Ozsoy
Jan 15, 2011·Current Urology Reports·Scott M CastleRaymond J Leveillee
Dec 7, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·J-J PatardUNKNOWN Oncology Committee of the French Association of Urology (CCAFU)
Apr 25, 2012·Nature Reviews. Urology·Michael A Gorin, Mohamad E Allaf
May 22, 2009·Journal of Endourology·John B MalcolmMichael D Fabrizio
Oct 21, 2009·Journal of Endourology·John B MalcolmMichael Fabrizio
May 19, 2010·Journal of Endourology·Steven JoniauAdrian Joyce
Sep 8, 2010·Journal of Endourology·Joseph A PettusRonald J Zagoria
Apr 1, 2010·Therapeutic Advances in Urology·Rajan Ramanathan, Raymond J Leveillee
May 22, 2009·AJR. American Journal of Roentgenology·Raul N UppotDebra A Gervais
Nov 26, 2010·AJR. American Journal of Roentgenology·Grant D SchmitJ William Charboneau
Oct 23, 2010·AJR. American Journal of Roentgenology·Andrew B RosenkrantzJonathan Melamed
May 25, 2013·AJR. American Journal of Roentgenology·Brian C AllenRonald J Zagoria
Oct 21, 2011·Radiology·Aradhana M VenkatesanDebra A Gervais
May 14, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·N BrangerE Lechevallier
Jul 16, 2010·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Brian C Allen, Erick M Remer
Jul 15, 2015·Journal of Endourology·Monzer ChehabJoseph Ciacci
Jul 28, 2013·Journal of Vascular and Interventional Radiology : JVIR·Debra A Gervais
May 29, 2012·Urology·Ithaar H Derweesh
Apr 11, 2012·The Urologic Clinics of North America·Ganesh Sivarajan, William C Huang
Mar 13, 2012·European Urology·Steven MacLennanUNKNOWN EAU Renal Cancer Guideline Panel
Nov 1, 2011·Journal of Vascular and Interventional Radiology : JVIR·Thomas D AtwellDavid E Patterson
Jul 19, 2011·Hematology/oncology Clinics of North America·Katherine M KrajewskiIvan Pedrosa
Mar 23, 2011·The Journal of Urology·Steven L ChangBenjamin I Chung
Feb 23, 2011·Seminars in Roentgenology·Heather WebbJ Louis Hinshaw
Aug 7, 2010·Journal of Vascular and Interventional Radiology : JVIR·Joseph P Erinjeri, Timothy W I Clark
Aug 7, 2010·Journal of Vascular and Interventional Radiology : JVIR·Adeep B ThumarDaniel B Brown
Mar 5, 2016·Abdominal Radiology·Stephen R LeeRonald Arellano
Sep 1, 2015·Transplantation Reviews·Xavier TillouArnaud Doerfler
Nov 3, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·C John SperatiMichael J Choi
Sep 11, 2012·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·X TillouJ Petit
Jul 6, 2014·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·X TillouUNKNOWN members of the Renal Transplantation Committee of the French Urological Association (CTAFU)

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.