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Currently, detected RCCs are getting smaller in size, leading to increasing adoption of minimally invasive PN as the preferred treatment for T1 RCC
The use of local tumor ablation is increasing in the treatment of small kidney masses
Researchers from Italy published an article in the journal Int J Urol comparing oncological outcomes of partial nephrectomy and local tumor ablation in patients with T1 kidney masses .
To reduce intrinsic differences between patients undergoing laparoscopic or robotic-assisted partial nephrectomy (n = 405) and local tumor ablation (n = 137), we used a 1:1 propensity score matching analysis
Multivariate logistic regression and competing risks regression models were used to identify predictors of complications, recurrence, and death from other causes, respectively Multivariate logistic regression and competing risks regression models were used to identify predictors of complications, recurrence, and death from other causes, respectively
RESULTS: Partial nephrectomy was associated with higher disease-free survival compared with local tumor ablation (92.
In competing risks analysis, age (hazard ratio 0.
Multivariate regression analysis
Multivariate regression analysis
In conclusion, compared with partial nephrectomy, local tumor ablation showed a higher risk of recurrence and lower risk of complications, with comparable overall survival
Local tumor ablation showed a higher risk of recurrence and lower risk of complications compared with partial nephrectomy , with comparable overall survival rates Local tumor ablation showed a higher risk of recurrence compared with partial nephrectomy and lower risk of complications, comparable overall survival
Original source:
Original source:Lorenzo Bianchi, Francesco Chessa, Pietro Piazza et al.
Percutaneous ablation or minimally invasive partial nephrectomy for cT1a renal masses? A propensity score-matched analysis
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