Guziński Maciej, Krajewski Wojciech, Tomczak Wojciech, Nowak Łukasz, Łaszkiewicz Jan, Chorbińska Joanna, Chełmoński Adam, Małkiewicz Bartosz, Szydełko Tomasz
Department of General Radiology, Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland.
Department of Minimally Invasive and Robotic Urology, University Center of Excellence in Urology, Wroclaw Medical University, Wroclaw, Poland.
Pol J Radiol. 2024 Nov 12;89:e526-e530. doi: 10.5114/pjr/193205. eCollection 2024.
The incidence of renal cell carcinoma has been steadily increasing over the past two decades, raising the need for minimally invasive approaches. We sought to present the methodology of the percutaneous cryoablation (PCA) procedure developed based on one year of experience with 81 PCA procedures.
The percutaneous cryoablation programme at Wroclaw Medical University Hospital has been successfully operating for a year. During this period, patients who were ineligible for partial nephrectomy either because of numerous comorbidities or strong preference against surgery were treated with PCA. Each procedure was conducted with the close cooperation of an interventional radiologist and a urologist.
Over the past year, 81 procedures in 74 individuals have been performed and thoroughly analysed. The mean and median effective radiation doses were 12.57 mSv and 10.76 mSv, respectively. Comprehensive details of our workflow are described within the body of the manuscript.
Percutaneous cryoablation is a technically effective treatment approach for carefully selected individuals with small renal masses. However, starting a PCA programme from scratch necessitates creation of detailed protocols, as well as close interventional radiologist and urologist cooperation. This review outlines the established workflow and shares insights gained from one year of experience with percutaneous cryoablation.
在过去二十年中，肾细胞癌的发病率一直在稳步上升，因此对微创治疗方法的需求也日益增加。我们旨在介绍基于81例经皮冷冻消融（PCA）手术一年经验所开发的PCA手术方法。
弗罗茨瓦夫医科大学医院的经皮冷冻消融项目已成功开展一年。在此期间，因多种合并症或强烈反对手术而不符合部分肾切除术条件的患者接受了PCA治疗。每例手术均在介入放射科医生和泌尿科医生的密切合作下进行。
在过去一年中，对74名患者进行了81例手术，并进行了全面分析。平均有效辐射剂量和中位有效辐射剂量分别为12.57 mSv和10.76 mSv。我们工作流程的详细信息在正文部分进行了描述。
经皮冷冻消融对于精心挑选的小肾肿块患者是一种技术上有效的治疗方法。然而，从零开始启动PCA项目需要制定详细的方案，以及介入放射科医生和泌尿科医生的密切合作。本综述概述了既定的工作流程，并分享了经皮冷冻消融一年经验中获得的见解。
