Table 2.
Outcome
|
Complication
|
|||
---|---|---|---|---|
Study | Clinical outcome studied | Occurrence, % | Major | Minor |
Ganguli et al.20 | Average percentage decrease in tumour size | 21 | Ureteral injury; large perinephric, retroperitoneal, and pelvic hemorrhage | Second-degree burn; small perinephric or subcapsular hematomas |
Lucas et al.5 | 1) Renal function — GFR < 60 mL/min/ 1.73 m2 | RFA 89.47 | NR | NR |
PN 88.88 | ||||
RN 100 | ||||
2) Local recurrence | RFA 6.97 | NR | NR | |
PN 2.35 | ||||
RN 0 | ||||
Weight et al.21 | 1) Radiographic success | RFA 85 | NR | NR |
CA 90 | ||||
2) No malignant cells on biopsy | RFA 65 | NR | NR | |
CA 94 | ||||
Wingo and Leveillee22 | Successfully managed with a single RFA session | 92.7 (data from endophytic tumours) | Lower extremity paresthesia | Hematuria, retention, flank bruising |
Bensalah et al.23 | 1) Hospital length of stay, d | RFA 1.5 | Ureteric stricture (requiring a nephrectomy) | |
LPN 2.9 | Urinary leak; delayed bleeding (requiring bladder clot evacuation and stenting) | Acute urinary retention, perirenal hematoma | ||
2) Recurrences | RFA 2.63
LPN 0 |
|||
Breen et al.24 | 1) Tumours completely treated | 79.04 | Moderate hydronephrosis and clyceal leak (subsequent urinoma) | Hematuria, renal hematoma |
2) Overall technical success rate | 90.47 | |||
Stern et al.25 | 3-year recurrence-free survival rate | RFA 93.4 | UPJ obstruction (subsequently had a nephrectomy) and pneumonia | Asymptomatic lower-pole hydrocalyx and temporary probe- site numbness |
PN 95.8 | Flank-site hernia | Ileus | ||
Zagoria et al.26 | Completely ablated tumour | 93 | Large perinephric hematoma; pneumonia; severe neuropathic pain and ureteral strictures with concomitant hydronephrosis | Small pneumothoraces, perirenal hemorrhage, apnea, tachycardia, flank pain |
Hegarty et al.27 | 1) Radiological evidence of tumour recurrence or persistence of disease | RFA11.1 | There were no major complications | Perirenal hematoma; retroperitoneal hematoma; perirenal abscess and upper pole hydrocalicosis |
CA 1.8 | Myocardial infarction; congestive heart failure and hemothorax | Urine leak; obstructed solitary kidney; pneumothorax; perirenal fluid collection and blood transfusion | ||
2) Cancer-specific survival | RFA 100
CA 98 |
|||
Matin et al. 28 | Overall residual or recurrent disease | RFA 13.4 | NR | NR |
CA 3.9 | NR | NR | ||
Gervais et al.29 | Complete tumour necrosis by imaging criteria | 90 | Hemorrhage requiring RBC transfusion and stent placement; asymptomatic posterior abdominal wall enhancing mass; ureteral stricture; urinoma and ureteral injury | Hemorrhage not requiring transfusion; inflammatory track mass; skin burns and transient neuropathic pain |
Matsumoto et al.30 | Successful ablation of the tumour | 98 | Lower-pole infarct, urine leak and UPJ obstruction | Leg and arm neuropathy; pneumonia; prolonged pain; postoperative narcotic reaction and hydrocalix |
Wah et al.31 | Occurrence of fever and flulike symptoms | RFA 82
CG NR |
Flu-like symptoms; pneumonia; pain; | Lifestyle interference with general activities and work activities |
DiMarco et al.32 | Successful ablation of the tumour | 95 | UPJ obstruction; chronic lumbar plexopathy pain; wedge shaped renal infarct; major hemorrhage | NR |
CA = cryoablation; CG = control group; GFR = glomerular filtration rate; LPN = laparoscopic partial nephrectomy; NR = not reported; PN = partial nephrectomy; RBC = red blood cells; RFA = radiofrequency ablation; RN = radical nephrectomy; UPJ = uretero–pelvic junction