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. 2009 Apr;3(2):143–149. doi: 10.5489/cuaj.1048

Table 2.

Clinical outcomes and complications of each included study (part 1 of 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