Cryoablation vs radiofrequency ablation for the treatment of renal cell carcinoma: a meta‐analysis of case series studies

@article{ElDib2012CryoablationVR,
  title={Cryoablation vs radiofrequency ablation for the treatment of renal cell carcinoma: a meta‐analysis of case series studies},
  author={Regina El Dib and Naji J. Touma and Anil Kapoor},
  journal={BJU International},
  year={2012},
  volume={110}
}
Study Type – Therapy (systematic review) 
Percutaneous microwave ablation of renal masses in a UK cohort
To report a tertiary referral centre’s experience of microwave ablation (MWA) for suspected renal cell carcinoma (RCC), describing complications and oncological outcomes.
Stereotactic ablative body radiotherapy for inoperable primary kidney cancer: a prospective clinical trial
TLDR
To assess the feasibility and safety of stereotactic ablative body radiotherapy for renal cell carcinoma (RCC) in patients unsuitable for surgery, and to assess oncological and functional outcomes. Expand
Oncological outcomes and complication rates after laparoscopic‐assisted cryoablation: a European Registry for Renal Cryoablation (EuRECA) multi‐institutional study
To assess complication rates and intermediate oncological outcomes of laparoscopic‐assisted cryoablation (LCA) in patients with small renal masses (SRMs).
Cryoablation Predisposes to Higher Cancer Specific Mortality Relative to Partial Nephrectomy in Patients with Nonmetastatic pT1b Kidney Cancer
TLDR
Cryoablation is done in select patients with pT1b nonmetastatic renal cell carcinoma without convincing proof of efficacy, and differences in the cancer specific mortali... Expand
Postoperative Surveillance Protocols for Renal Cell Carcinoma
TLDR
Patients with renal cell carcinoma (RCC) are at risk of recurrence even after definitive surgical extirpation, and surveillance in the postoperative setting is of paramount importance. Expand
Renal ablation: current management strategies and controversies.
TLDR
An overview of the current types of ablative technology is outlined, the current evidence and controversies are presented and controversies on image-guided renal ablation are discussed. Expand
Percutaneous Thermal Ablation for Treatment of T1a Renal Cell Carcinomas.
TLDR
For treatment of stage T1a RCC, percutaneous TA is an effective alternative to surgery with preservation of renal function, low risk, and comparable overall and disease-specific survival. Expand
Trends in Percutaneous Thermal Ablation Therapies in the Treatment of T1a Renal Cell Carcinomas Rather than Partial Nephrectomy/Radical Nephrectomy.
TLDR
The purpose of this article is to review the principal thermal ablation modalities and oncological outcomes for the treatment of stage T1 RCCs with long-term follow-up. Expand
Urologic and interventional radiology treatment of renal cell carcinomas-similarities and differences.
TLDR
Treatment modalities for renal cell carcinoma have evolved and broadened as alternatives to traditional nephrectomy, and the prevalence of RCC in the U.S. was reported to be 505,380 in 2015. Expand
Surgical and Medical Options in the Management of Renal Cell Carcinoma
TLDR
A review of various histologic subtypes of RCC, up-to-date surgical and medical treatment options, and their respective outcomes is presented. Expand
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References

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Renal functional outcomes for tumours in a solitary kidney managed by ablative or extirpative techniques
Study Type – Therapy (case series)
 Level of Evidence 4
Percutaneous cryoablation of renal cell carcinoma guided by horizontal open magnetic resonance imaging
TLDR
This study aims to determine the feasibility, safety, and intermediate‐term treatment outcome of percutaneous cryoablation of renal cell carcinoma guided by horizontal open magnetic resonance imaging (MRI). Expand
Cryoablation of renal tumours in patients with solitary kidneys
To investigate the use of cryoablation for small renal tumours (≤ 5 cm) in patients with solitary kidneys, as the advantage of this technique might be to preserve nephrons for maintaining renalExpand
‘Skipping’ is still a problem with radiofrequency ablation of small renal tumours
To evaluate the homogeneity and extent of necrosis obtained with next‐generation radiofrequency ablation (RFA) equipment and techniques, as incomplete tumour necrosis, or ‘skipping’, has beenExpand
Follow‐up of renal masses after cryosurgery using computed tomography; enhancement patterns and cryolesion size
TLDR
The characteristics of cryolesions as seen on computed tomography (CT) are described, for size and enhancement patterns, and correlations between these imaging findings and histopathological diagnosis are assessed. Expand
Radiofrequency ablation for the treatment of renal cell carcinoma: initial experience
TLDR
Despite a limited number of patients, it is believed that percutaneous RFA is clinically feasible and can be an alternative treatment of choice for RCC. Expand
Laparoscopic cryoablation of solid renal masses: intermediate term followup.
TLDR
LRC for small renal masses appears to be a safe, reproducible, minimally invasive technique, although further studies and prolonged followup are needed to access the role of this surgical technique. Expand
Oncologic efficacy of CT-guided percutaneous radiofrequency ablation of renal cell carcinomas.
TLDR
It is indicated that radiofrequency ablation can reliably eradicate RCCs smaller than 3.7 cm, and treatment of larger R CCs will result in an increased risk of residual RCC. Expand
Radiofrequency ablation for T1a tumors in a solitary kidney: promising intermediate oncologic and renal function outcomes.
TLDR
Renal function appears to be adequately maintained with promising oncologic outcomes at 2.5 years following RFA and radiofrequency ablation is an attractive alternative for the management of patients with T1a renal cortical tumors in a solitary kidney. Expand
Clinical experience with open renal cryoablation.
TLDR
Open renal cryoablation appears to be a safe technique for the in situ destruction of solid or complex renal masses, however, inadequate freezing of renal cell carcinoma may result in local disease persistence. Expand
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