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Partial Nephrectomy versus Percutaneous Cryoablation of Small Renal Cell Carcinomas: A Comparison of Complications in a Prospective Multicenter Cohort Study.
- Source :
- Journal of Vascular & Interventional Radiology; Nov2022, Vol. 33 Issue 11, p1375-1375, 1p
- Publication Year :
- 2022
-
Abstract
- <bold>Purpose: </bold>To assess and compare complications and readmissions after partial nephrectomy and percutaneous cryoablation of cT1 renal cell carcinoma (RCC).<bold>Materials and Methods: </bold>Patients treated for cT1 RCC between 2019 and 2021 were prospectively and consecutively enrolled. Complications recorded within 30 and 90 days were graded according to the Clavien-Dindo classification, and percutaneous cryoablation was graded according to the Society of Interventional Radiology classification of adverse events. Major complications were defined as complications with a grade of ≥3 based on the Clavien-Dindo classification. Readmission within 30 days was recorded.<bold>Results: </bold>The cohort included 86 partial nephrectomies and 104 cryoablations. The complication rate within 90 days was 23% after partial nephrectomy and cryoablation (P = .98), with major complication rates of 3% after partial nephrectomy and 10% after cryoablation (P = .15). The readmission rates were 14% and 11% after partial nephrectomy and cryoablation, respectively (P = .48). Double-J stents were associated with overall complications (odds ratio [OR], 9.88; 95% confidence interval [CI], 2.18-44.68; P = .003) and readmissions (OR, 5.39; 95% CI, 1.37-21.06; P = .015) after cryoablation. A high versus low radius-endophytic-nearness-anterior-location score (OR, 5.86; 95% CI, 1.08-31.81; P = .040) and endophytic location (OR, 7.70; 95% CI, 1.72-34.50; P = .008) were associated with a higher complication rate after cryoablation. The Charlson Comorbidity Index (CCI) was associated with major complications after partial nephrectomy (OR, 2.12; 95% CI, 1.05-4.30; P = .036).<bold>Conclusions: </bold>Partial nephrectomy and cryoablation are comparable regarding complications within 90 days after treatment. Tumor complexity and double-J stents were associated with complications after cryoablation, and a high CCI was associated with complications after partial nephrectomy. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10510443
- Volume :
- 33
- Issue :
- 11
- Database :
- Supplemental Index
- Journal :
- Journal of Vascular & Interventional Radiology
- Publication Type :
- Academic Journal
- Accession number :
- 159756889
- Full Text :
- https://doi.org/10.1016/j.jvir.2022.07.007