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前列腺癌和肾癌冷冻治疗的现状

Current status of cryotherapy for prostate and kidney cancer.

作者信息

Cho Seok, Kang Seok Ho

机构信息

Department of Urology, Korea University Anam Hospital, Seoul, Korea.

出版信息

Korean J Urol. 2014 Dec;55(12):780-8. doi: 10.4111/kju.2014.55.12.780. Epub 2014 Nov 21.

Abstract

In terms of treating diseases, minimally invasive treatment has become a key element in reducing perioperative complications. Among the various minimally invasive treatments, cryotherapy is often used in urology to treat various types of cancers, especially prostate cancer and renal cancer. In prostate cancer, the increased incidence of low-risk, localized prostate cancer has made minimally invasive treatment modalities an attractive option. Focal cryotherapy for localized unilateral disease offers the added benefit of minimal morbidities. In renal cancer, owing to the increasing utilization of cross-sectional imaging, nearly 70% of newly detected renal masses are stage T1a, making them more susceptible to minimally invasive nephron-sparing therapies including laparoscopic and robotic partial nephrectomy and ablative therapies. This article reviews the various outcomes of cryotherapy compared with other treatments and the possible uses of cryotherapy in surgery.

摘要

在疾病治疗方面,微创治疗已成为减少围手术期并发症的关键因素。在各种微创治疗中,冷冻疗法常用于泌尿外科治疗各类癌症,尤其是前列腺癌和肾癌。在前列腺癌中,低风险、局限性前列腺癌发病率的增加使得微创治疗方式成为有吸引力的选择。针对局限性单侧疾病的局部冷冻疗法具有发病率极低的额外优势。在肾癌方面,由于横断面成像的使用日益增多,新检测出的肾肿块近70%为T1a期,这使得它们更适合包括腹腔镜和机器人辅助部分肾切除术以及消融疗法在内的微创保肾治疗。本文综述了冷冻疗法与其他治疗方法相比的各种疗效以及冷冻疗法在手术中的可能应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1811/4265711/ef2d13a85d2e/kju-55-780-g001.jpg

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