Re: Tumour in solitary kidney: Laparoscopic partial nephrectomy vs laparoscopic cryoablation

摘要

Objectives: We compare perioperative, functional and intermediate-term oncological outcomes of laparoscopic partial nephreetomy (LPN) vs laparoscopic cryoablation (LCA) for small renal tumour in patients with a solitary kidney. A treatment algorithm is also proposed. Patient and Methods: Over a 10-year period (02/1998-09/2008), 78 patients with a small tumour in a functionally solitary kidney underwent LPN (n = 48) or LCA (n = 30). Baseline, perioperative, and follow-up data were collected prospectively and analyzed retrospectively. Results: Demographic data were similar between the LPN and LCA groups. Tumours were somewhat larger (3.2 vs 2.6 cm) in the LPN group.