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• W2316446905 abstract "You have accessJournal of UrologyLate-Breaking S&T Poster1 Apr 2016LB-S&T-25 COMPARISON OF PARTIAL NEPHRECTOMY AND PERCUTANEOUS RADIOFREQUENCY ABLATION FOR SMALL RENAL MASSES IN THE MANNER OF PREOPERATIVE ASPECTS AND DIMENSIONS USED FOR AN ANATOMICAL (PADUA) CLASSIFICATION Wei-Ting Kuo, Lun-Hsiang Yuan, Yin-Shen Chen, Jen-Tai Lin, Jeng-Yu Tsai, Chia-Cheng Yu, and Tony T. Wu Wei-Ting KuoWei-Ting Kuo More articles by this author , Lun-Hsiang YuanLun-Hsiang Yuan More articles by this author , Yin-Shen ChenYin-Shen Chen More articles by this author , Jen-Tai LinJen-Tai Lin More articles by this author , Jeng-Yu TsaiJeng-Yu Tsai More articles by this author , Chia-Cheng YuChia-Cheng Yu More articles by this author , and Tony T. WuTony T. Wu More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.03.106AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We present our experience with the clinical feature, efficacy and outcome of comparison of partial nephrectomy and radiofrequency ablation (RFA) for small renal tumors in the manner of Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) Classification as a minimal invasive treatment in VGHKS. METHODS A total of 78 patients in 15 years with small renal tumors were enrolled. We use Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) Classification for renal tumor classification and compared PN (42 patients) and RFA (36 patients) with clinical outcome (local recurrence-free, metastases-free, and overall survival rates), RFA procedure (RFA needle, No. of treatment, Anesthesia, complication), renal function deterioration after procedure and pathology report. We also use clustered needle or switch mode control of RFA and D5W instillation for separating bowel loop. RESULTS The median value of the PADUA score was 7.5 (IQR: 7–9), which is no significant difference between two groups. Of the 56 cT1a patients, 32 underwent PN, 24 underwent RFA. In this cohort, local recurrence-free survival, metastases-free survival were similar among the two treatments ( p = 0.53 / 0.46). Of the 22 cT1b patients, 10 patients underwent PN, and 12 patients were managed with RFA. In this cohort, local recurrence-free survival (p = 0.76) and metastases-free survival (p = 0.51) were similar between PN and RFA. In both the cT1a and cT1b groups, PN patients were significantly younger, with lower Charlson scores and had superior overall survival (p < 0.001 for all). In the RFA group, all patients have been biopsy before RFA and 22 been proved RCC. The number of RFA needle treatment were significantly correlated to PADUA score. 13 patients were under local anesthesia, the other were under IVGA by anesthesiologist. Only one patient presented mild pneumothorax after RFA without intervention treatment. Renal function deterioration after procedure did not reveal clinical significance. Tumor recurrence was recognized by CT scan in 3 patients during followup, who repeated RFA treatment without recurrence. CONCLUSIONS For carefully selected patients, RFA represent a less invasive alternative associated with less morbidity and fewer complications and a promising treatment compared with partial nephrectomy. However, the long-term efficacy of these approaches remains to be established. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e346-e347 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Wei-Ting Kuo More articles by this author Lun-Hsiang Yuan More articles by this author Yin-Shen Chen More articles by this author Jen-Tai Lin More articles by this author Jeng-Yu Tsai More articles by this author Chia-Cheng Yu More articles by this author Tony T. Wu More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2316446905 title "LB-S&T-25 COMPARISON OF PARTIAL NEPHRECTOMY AND PERCUTANEOUS RADIOFREQUENCY ABLATION FOR SMALL RENAL MASSES IN THE MANNER OF PREOPERATIVE ASPECTS AND DIMENSIONS USED FOR AN ANATOMICAL (PADUA) CLASSIFICATION" @default.
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