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Partial nephrectomy versus ablative therapy for the treatment of renal tumors in an imperative setting

hal.structure.identifierCentre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
hal.structure.identifierGestes Medico-chirurgicaux Assistés par Ordinateur [TIMC-IMAG-GMCAO]
dc.contributor.authorLONG, Jean-Alexandre
hal.structure.identifierService d'urologie, andrologie et transplantation rénale
dc.contributor.authorBERNHARD, Jean-Christophe
hal.structure.identifierCentre Hospitalier Universitaire d'Angers [CHU Angers]
dc.contributor.authorBIGOT, Pierre
hal.structure.identifierUniversité Grenoble Alpes - UFR Médecine [UGA UFRM]
dc.contributor.authorLANCHON, Cécilia
hal.structure.identifierService d'urologie [Centre Hospitalier Lyon Sud - HCL]
dc.contributor.authorPAPAREL, Philippe
hal.structure.identifierInstitut de Génétique et Développement de Rennes [IGDR]
dc.contributor.authorRIOUX-LECLERCQ, Nathalie
hal.structure.identifierOncologie génito-urinaire
dc.contributor.authorALBIGES, Laurence
hal.structure.identifierCentre d'Urologie Prado Louvain [Marseille]
dc.contributor.authorBODIN, Thomas
hal.structure.identifierUNIROUEN - UFR Santé [UNIROUEN UFR Santé]
dc.contributor.authorNOUHAUD, François-Xavier
hal.structure.identifierChirurgie urologique et transplantation rénale [Hôpital de la Conception - APHM]
dc.contributor.authorBOISSIER, Romain
hal.structure.identifierPolyclinique Médipôle Saint-Roch [Cabestany]
dc.contributor.authorGIMEL, Pierre
hal.structure.identifierHôpital Necker - Enfants Malades [AP-HP]
dc.contributor.authorMEJEAN, Arnaud
hal.structure.identifierCHU Henri Mondor [Créteil]
dc.contributor.authorMASSON-LECOMTE, Alexandra
hal.structure.identifierImagerie moléculaire et fonctionnelle: de la physiologie à la thérapie
dc.contributor.authorGRENIER, Nicolas
hal.structure.identifierModélisation Mathématique pour l'Oncologie [MONC]
dc.contributor.authorCORNELIS, François
hal.structure.identifierCentre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
dc.contributor.authorGRASSANO, Yohann
hal.structure.identifierCentre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
dc.contributor.authorCOMAT, Vincent
hal.structure.identifierCentre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
dc.contributor.authorLE CLERC, Quentin Come
hal.structure.identifierCentre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
dc.contributor.authorRIGAUD, Jérôme
hal.structure.identifierService d'urologie [Mondor]
dc.contributor.authorSALOMON, Laurent
hal.structure.identifierCentre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
hal.structure.identifierGestes Medico-chirurgicaux Assistés par Ordinateur [TIMC-IMAG-GMCAO]
dc.contributor.authorDESCOTES, Jean-Luc
hal.structure.identifierService central de radiologie et d'imagerie médicale
dc.contributor.authorSENGEL, Christian
hal.structure.identifierCHU Pitié-Salpêtrière [AP-HP]
dc.contributor.authorROUPRÊT, Morgan
hal.structure.identifierInstitut de Génétique et Développement de Rennes [IGDR]
dc.contributor.authorVERHOEST, Gregory
hal.structure.identifierService d'urologie [Mondor]
dc.contributor.authorOUZAID, Idir
hal.structure.identifierUniversité Grenoble Alpes - UFR Médecine [UGA UFRM]
dc.contributor.authorARNOUX, Valentin
hal.structure.identifierCentre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Pontchaillou]
dc.contributor.authorBENSALAH, Karim
dc.date.accessioned2024-04-04T03:05:59Z
dc.date.available2024-04-04T03:05:59Z
dc.date.issued2017-04
dc.identifier.issn0724-4983
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/193302
dc.description.abstractEnPurpose - To compare partial nephrectomy (PN) and percutaneous ablative therapy (AT) for renal tumor in imperative indication of nephron-sparing technique (NST). Materials and methods - Between 2000 and 2015, 284 consecutive patients with a kidney tumor in an imperative indication of NST were retrospectively included in a multicenter study. PN [open (n = 146), laparoscopic (n = 9), or robotic approach (n = 17)] and AT [radiofrequency ablation (n = 104) or cryoablation (n = 8)] were performed for solitary kidney (n = 146), bilateral tumor (n = 78), or chronic kidney disease (CKD) (n = 60). Results - Patients in the PN group had larger tumors and a higher RENAL score. There were no differences between the two groups with respect to age, reasons for imperative indication, and preoperative eGFR. Patients in the AT group had a higher ASA and CCI. PN had worse outcomes than AT in terms of transfusion rate, length of stay, and complication rate. Local radiological recurrence-free survival was better for PN, but metastatic recurrence was similar. Percentage of eGFR decrease was similar in the two groups. Temporary or permanent dialysis was not significantly different. On multivariate analysis, PN and AT had a similar eGFR change when adjusted for tumor complexity, reason of imperative indication and CCI. Conclusion - In imperative indication of nephron-sparing treatment for a kidney tumor, either PN or AT can be proposed. PN offers the ability to manage larger and more complex tumors while providing a better local control and a similar renal function loss.
dc.language.isoen
dc.publisherSpringer Verlag
dc.subject.enRenal cancer
dc.subject.enRadiofrequency
dc.subject.enPartial nephrectomy
dc.subject.enImperative indication
dc.subject.enCryoablation
dc.title.enPartial nephrectomy versus ablative therapy for the treatment of renal tumors in an imperative setting
dc.typeArticle de revue
dc.identifier.doi10.1007/s00345-016-1913-4
dc.subject.halSciences du Vivant [q-bio]
bordeaux.journalWorld Journal of Urology
bordeaux.page649 - 656
bordeaux.volume35
bordeaux.hal.laboratoriesInstitut de Mathématiques de Bordeaux (IMB) - UMR 5251*
bordeaux.issue4
bordeaux.institutionUniversité de Bordeaux
bordeaux.institutionBordeaux INP
bordeaux.institutionCNRS
bordeaux.peerReviewedoui
hal.identifierhal-01792768
hal.version1
hal.popularnon
hal.audienceInternationale
hal.origin.linkhttps://hal.archives-ouvertes.fr//hal-01792768v1
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