The authors matched 41 patients who had undergone laparoscopic cryoablation with 82 patients who had undergone partial nephrectomy for kidney cancer. The authors found that laparoscopic cryoablation and partial nephrectomy provided comparable outcome in terms of complication rate and renal function. However, laparoscopic cryoablation resulted in higher local recurrence rate of 15% after 3 years. It was concluded that laparoscopic cryoablation should reserved for high-risk patients.
A local recurrence rate of 15% is not acceptable. Patient selection for cyroablation remains unclear. High-risk patients may benefit from watchful waiting.
Presented by Tobias Klatte, MD, et al. at the 26th Annual European Association of Urology (EAU) Congress - March 18 - 21, 2011 - Austria Centre Vienna, Vienna, Austria
Reported for UroToday by Christian Doehn, MD, PhD, Department of Urology, University of Lübeck Medical School, Lübeck Germany.
View EAU 2011 Annual Meeting Coverage