A clinical observation of cool-tip radiofrequency ablation assisted enucleation for giant renal angiomyolipoma / 中华外科杂志
Chinese Journal of Surgery
; (12): 129-132, 2016.
Article
de Zh
| WPRIM
| ID: wpr-349219
Bibliothèque responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To initially explore the clinical effect of cool-tip radiofrequency ablation combined with enucleation for the giant hamartoma of kidney with narrow base and export-oriented way of growth.</p><p><b>METHODS</b>The clinical date of 15 patients including 6 male and 9 female with special hamartoma of kidney underwent cool-tip radiofrequency ablation assisted enucleation from July 2011 to October 2014 were reviewed.The median age was 49 years (ranging from 35 to 71 years). There were 6 cases with left renal tumor, 8 cases with right renal tumor and 1 case with solitary kidney tumor.All patients were confirmed by B ultrasound or CT scan, the mean diameter of hamartoma of kidney was 9.7 cm(8.5-12.7)cm, all tumors were located distant from the collecting system and presents with a special way of growth.The preoperative hemoglobin was (129±18)g/L, SCr was (92±41)μmol/L, glomerular filtration rate (GFR) was (32±12)ml·min(-1)·1.73 m(-2).</p><p><b>RESULTS</b>Cool-tip radiofrequency ablation assisted enucleation was technically successful in all patients.The mean operative duration was (115±31)minutes, and the average intraoperative bleeding was (72±21)ml with no blooding transfusion.The postoperative hospital stay was(7±2)days, and the postoperative hemoglobin was(129±18)g/L, SCr (92±41)μmol/L, GFR(30±15)ml·min(-1)·1.73 m(-2). No statistic change of hemoglobin and SCr or glomerular filtration rate after operations(all P>0.05). Postoperative pathology showed that all cases were hamartoma of kidney.During a mean follow-up period of 19.5 months, none of them had local tumor recurrence or chronic renal insufficiency.</p><p><b>CONCLUSIONS</b>Cool-tip radiofrequency ablation assisted enucleation is both safe and effective in the treatment of huge hamartoma of kidney with a narrow base and export-oriented way of growth. The short-term follow-up shows a satisfactory therapeutic effect.</p>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Période postopératoire
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Chirurgie générale
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Thérapeutique
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Transfusion sanguine
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Résultat thérapeutique
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Ablation par cathéter
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Angiomyolipome
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Débit de filtration glomérulaire
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Tumeurs du rein
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Durée du séjour
Limites du sujet:
Adult
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Aged
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Female
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Humans
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Male
langue:
Zh
Texte intégral:
Chinese Journal of Surgery
Année:
2016
Type:
Article