Mues Adam C, Landman Jaime
Columbia University, Department of Urology, 161 Fort Washington Avenue, Herbert Irving Pavilion, 11th Floor, New York, NY 10032, USA.
Indian J Urol. 2009 Oct-Dec;25(4):499-507. doi: 10.4103/0970-1591.57928.
The increase in detection of small (</= 4 cm) renal cortical neoplasms has made nephron-sparing surgery the new standard of care for T1a renal lesions. Advances in minimally invasive surgery have improved the surgical approach to these lesions to include laparoscopic partial nephrectomy and renal ablative therapies. In this review, we discuss the indications, outcomes, and potential complications of the commonly used ablative modalities in urologic practice. We will expand on renal cryoablation and review the mechanism of action, surgical approaches, and evidence based medicine using this modality.
小（≤4cm）肾皮质肿瘤检出率的增加，使保留肾单位手术成为T1a期肾病变的新治疗标准。微创手术的进展改善了对这些病变的手术方法，包括腹腔镜下肾部分切除术和肾脏消融治疗。在本综述中，我们讨论了泌尿外科实践中常用消融方式的适应症、疗效及潜在并发症。我们将详细阐述肾脏冷冻消融，并回顾其作用机制、手术方法及基于循证医学的应用。
