PMID: 9179266May 1, 1997Paper

Monitoring during cryosurgery of bone tumors

Journal of Surgical Oncology
H W SchreuderR P Veth

Abstract

Cryosurgery is used in orthopaedic oncology as adjuvant treatment after intralesional excision of bone tumors to induce cell death at and beyond the surgical margin. Monitoring freeze/thaw cycles during cryosurgery is beneficial in controlling a cryosurgical procedure and in preventing an unwarranted local extent of the freeze. We conducted a study of 15 cryosurgical procedures with the use of a protocolized temperature measuring system wit peroperative graphic visualization. Using a liquid nitrogen spray, intralesional temperatures of -150 degrees C were achieved, which are, according to the literature, associated with cell death. Extralesional temperature measurements showed no sub-zero temperatures of surrounding important tissues. Temperature recordings in and outside the lesion during cryosurgery in orthopaedic oncology are of importance to monitor the freeze/thaw cycles and are helpful in facilitating an effective cryosurgical procedure and in controlling the extent of the freeze, avoiding local complications.

References

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Citations

Oct 21, 2011·Radiology·Aradhana M VenkatesanDebra A Gervais
May 17, 2011·Journal of Clinical Anesthesia·Lajla KadicH W Bart Schreuder
Apr 3, 2007·Injury·Panayiotis J PapagelopoulosPanayotis N Soucacos
Aug 1, 2008·Journal of Surgical Oncology·I C M van der GeestH W B Schreuder
Aug 2, 2008·Current Opinion in Urology·Raj K Goel, Jihad H Kaouk
Aug 3, 1999·Acta Orthopaedica Scandinavica·J BickelsM M Malawer
Mar 13, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·L van der HeijdenP D S Dijkstra
Apr 11, 2014·The Oncologist·Lizz van der HeijdenHans Gelderblom
Jan 25, 2017·Sarcoma·F G M VerspoorH W B Schreuder
Mar 29, 2001·Journal of Surgical Oncology·L C KeijserR P Veth
Mar 7, 2014·The Journal of Bone and Joint Surgery. American Volume·Lizz van der HeijdenP D Sander Dijkstra

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