Laparoscopic renal resection with the use of radiofrequency thermoablation: remote oncological and functional results

Laparoscopic renal resection with the use of radiofrequency thermoablation: remote oncological and functional results

B.Ya. Alekseev, A.N. Andrianov, A.S. Kalpinsky, K.M. Nyushko, N.V. Vorobyev, M.P. Golovashchenko, A.D. Kaprin
Keywords: renal-cell carcinoma, nephrectomy, laparoscopy, radiofrequency thermal ablation.
Medicinskij al'manah, 2015, issue 2, pages 35-41.

Wide introduction of modern diagnostic techniques into clinical practice has led to significantly increased

detection rates for renal-cell carcinoma (RCC) in its early stages. This gave rise to a change in the standards

for the treatment of locally advanced (RCC). Laparoscopic nephrectomy (LN) has recently become

the standard treatment of locally advanced RCC in the clinics having much experience with laparoscopic

surgery. The chief drawback of LN is difficulties in maintaining intraoperative hemostasis and a need for

creating renal tissue ischemia. The paper gives the long-term oncologic and functional results of application

of the new procedure of LN using radiofrequency thermal ablation in patients with non-ischemic

early-stage RCC.

1. Ferlay J., Shin H.R., Bray F. et al. GLOBOCAN. 2008. V. 1.2. Cancer Incidence

and Mortality Worldwide: IARC CancerBase № 10 [Internet]. Lyon, France:

International Agency for Research on Cancer. 2010.

2. SEER Cancer Statistics Factsheets: Kidney and Renal Pelvis Cancer. National

Cancer Institute. Bethesda, MD, http://seer.cancer.gov/statfacts/html/kidrp.html

3. Sostoyanie onkologicheskoy pomoschi naseleniyu Rossii v 2013 godu / Pod

red. A.D. Kaprina, V.V. Starinskogo, G.V. Petrovoy. M., 2014.

4.Alekseev B.Ya., Anzhiganova Yu.V., Lykov A.V. i dr. Osobennosti diagnostiki

i lecheniya raka pochki v Rossii: predvaritel’nye rezul’taty mnogocentrovogo

kooperirovanogo issledovaniya. Onkourologiya. 2012. № 3. S. 24-30.

5. Lane B.R., Gill I.S. 5-Year outcomes of laparoscopic partial nephrectomy. J.

Urol. 2007. № 177. Р. 70-74.

6. Gill I.S., Kavoussi L.R., Lane B.R. et al. Comparison of 1,800 laparoscopic and

open partial nephrectomies for single renal tumors. J. Urol. 2007. № 178. Р. 41-46.

7. Permpongkosol S., Bagga H.S., Romero F.R. et al. Laparoscopic versus open

partial nephrectomy for the treatment of pathological T1N0M0 renal cell carcinoma:

a 5-year survival rate. J. Urol. 2006. № 176. Р. 1984-1988, discussion 1988-1989.

8. Gill I.S., Colombo J.R. Jr., Moinzadeh A. et al. Laparoscopic partial nephrectomy

in solitary kidney. J. Urol. 2006. № 175. Р. 454-458.

9. Marszalek M., Meixl H., Polajnar M. et al. Laparoscopic and open partial

nephrectomy: a matched-pair comparison of 200 patients. Eur. Urol. 2009. № 55.

Р. 1171-1178.

10. Simmons M.N., Weight C.J., Gill I.S. Laparoscopic radical versus partial

nephrectomy for tumors >4 cm: intermediate-term oncologic and functional

outcomes. Urology. 2009. № 73. Р. 1077-1082.

11. Lane B.R., Babineau D.C., Poggio E.D. et al. Factors predicting renal function

outcome after partial nephrectomy. J Urol. 2008. № 180 (6). Р. 2363-2369.

12. Thompson R.H., Frank I., Lohse C.M. et al. The impact of ischemia time during

open nephron sparing surgery on solitary kidneys: a Multi-Institutional Study. J Urol.

2007. № 177 (2). Р. 471-476.

13. Bhayani S.B., Rha K.H., Pinto P.A. et al. Laparoscopic partial nephrectomy:

effect of warm ischemia on serum creatinine. J Urol. 2004. № 172. Р. 1264-1266.

14. Godoy G., Ramanathan V., Kanofsky J.A. et al. Effect of warm ischemia time

during laparoscopic partial nephrectomy on early postoperative glomerular filtration

rate. J Urol. 2009. № 181. Р. 2438-2443.

15. Porpiglia F., Renard J., Billia M. et al. Is renal warm ischemia over 30 minutes

during laparoscopic partial nephrectomy possible? one-year results of a prospective

study. Eur Urol. 2007. № 52. Р. 1170-1178.

16. Johnston W.K. III, Montgomery J.S., Seifman B.D. et al. Fibrin glue V sutured

bolster: lessons learned during 100 laparoscopic partial nephrectomies. J Urol. 2005.

№ 174 (1). Р. 47-52.

17. Gallucci M., Guaglianone S., Carpanese L. et al. Superselective embolization as

first step of laparoscopic partial nephrectomy. Urology. 2007. № 69 (4). Р. 642-645.

18. Moinzadeh A., Gill I.S., Rubenstein M. et al. Potassium-titanyl-phosphate

laser laparoscopic partial nephrectomy without hilar clamping in the survival calf

model. J Urol. 2005. № 174 (3). Р. 1110-1114.

19. Terai A., Ito N., Yoshimura K. et al. Laparoscopic partial nephrectomy using

microwave tissue coagulator for small renal tumors: usefulness and complications.

Eur Urol. 2004. № 45 (6). Р. 744-748.

20. Gill I.S., Eisenberg M.S., Aron M. et al. «Zero ischemia» partial nephrectomy:

novel laparoscopic and robotic technique. Eur Urol. 2011. № 59. Р. 128-134.

21. Lоpez-Suаrez A., Beltrаn-Robles M., Elvira-Gonzаlez J. et al. Comparison of

the MDRD and the CKD-EPI equations to estimate the glomerular filtration rate in

the general population. Med Clin (Barc). 2010. May 15. № 134 (14). Р. 617-623.

22. Gibbons R.P., Monte J.E., Correa R.J. Jr., Mason J.T. Manifestations of renal

cell carcinoma. Urology. 1976. Sep. № 8 (3). Р. 201-206.

23. Novick A.C. The Role of Nephron-Sparing surgery for renal cell carcinoma.

Eur Urol. 1990. № 18 (suppl. 2). Р. 24-25.

24. Go A.S., Chertow G.M., Fan D. et al. Chronic kidney disease and the risks of

death, cardiovascular events, and hospitalization. N Engl J Med. 2004. № 351 (13).

Р. 1296-1305.

25. Breau R.H., Crispen P.L., Jimenez R.E. et al. Outcome of stage T2 or greater

renal cell cancer treated with partial nephrectomy. J Urol. № 183. Р. 903-908.

[PubMed: 20083271]

26. Patard J.J., Shvarts O., Lam J.S. et al. Safety and efficacy of partial

nephrectomy for all T1 tumors based on an international multicenter experience. J

Urol. 2004. № 171. Р. 2181-2185. quiz 2435. [PubMed:15126781]

27. Thompson R.H., Siddiqui S., Lohse C.M. et al. Partial versus radical

nephrectomy for 4 to 7 cm renal cortical tumors. J Urol. 2009. № 182. Р. 2601-2606.

[PubMed: 19836797]

28. Leibovich B.C., Blute M.L., Cheville J.C. et al. Nephron sparing surgery for

appropriately selected renal cell carcinoma between 4 and 7 cm results in outcome

similar to radical nephrectomy. J Urol. 2004. № 171. Р. 1066-1070. [PubMed:

14767272]

29. Weight C.J., Larson B.T., Gao T. et al. Elective partial nephrectomy in patients

with clinical T1b renal tumors is associated with improved overall survival. Urology.

№ 76. Р. 631-637. [PubMed: 20451967]

30. Van Poppel H., Da Pozzo L., Albrecht W. et al. A prospective randomized

EORTC intergroup phase 3 study comparing the complications of elective nephronsparing

surgery and radical nephrectomy for low-stage renal cell carcinoma. Eur

Urol. 2007. № 51. Р. 1606-1615.

31. Lane B.R., Gill I.S. 5-Year outcomes of laparoscopic partial nephrectomy. J.

Urol. 2007. № 177. Р. 70-74.

32. Guillonneau B., Gupta R., Adorno Rosa J. et al. Initial experience in

laparoscopic partial nephrectomy for renal tumor with clamping of renal vessels. J

Endourol. 2003. № 17 (6). Р. 373-378.

33. Casey K.Ng., Gill I.S., Mukul B.P. et al. Anatomic Arenal artery branch

microdissection to facilitate zero-ischemia partial nephrectomy. Eur Urol. 2012.

№ 61. Р. 64-67.

34. Jacomides L., Ogan K., Watumull L., Cadeddu J.A. Laparoscopic application

of radio frequency energy enables in situ renal tumor ablation and partial

nephrectomy. J Urol. 2003. № 169. Р. 49-53.

35. Zeltser I.S., Moonat S., Park S. et al. Intermediate-term prospective results of

radiofrequency-assisted laparoscopic partial nephrectomy: a non-ischaemic

coagulative technique. BJU Intl. 2008. № 101. Р. 36-38.

B.Ya. Alekseev, A.N. Andrianov, A.S. Kalpinsky, K.M. Nyushko, N.V. Vorobyev, M.P. Golovashchenko, A.D. Kaprin Laparoscopic renal resection with the use of radiofrequency thermoablation: remote oncological and functional results. Medicinskij al'manah 2015; (2): 35–41