Single-center Comparison of Complications in Laparoscopic and Percutaneous Radiofrequency Ablation With Ultrasound Guidance for Renal Tumors
Single-center Comparison of Complications in Laparoscopic and Percutaneous Radiofrequency Ablation With Ultrasound Guidance for Renal Tumors
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超声引导下腹腔镜与经皮射频消融术治疗肾肿瘤并发症的单中心比较
DOI：
10.1016/j.urology.2012.01.085
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发表时间：
2012-07-01
期刊：
影响因子：
2.1
通讯作者：
Liu, Jun
中科院分区：
文献类型：
--
作者：
Lian, Huibo;Guo, Hongqian;Liu, Jun
目的：报告单中心腹腔镜射频消融（LRFA）和经皮射频消融（PRFA）相关的术后并发症情况。
方法：我们对本中心2006年2月至2010年3月期间接受LRFA或PRFA的患者病历进行回顾性分析。比较两组患者的人口统计学资料、影像学变量和并发症发生率。采用多因素逻辑回归分析术后并发症的危险因素。
结果：本研究共纳入191例患者，其中132例接受LRFA，59例接受PRFA。两组在年龄、性别、活检数据、美国麻醉医师协会分级、体重指数、孤立肾、肿瘤大小、肿瘤数量、肾小球滤过率、随访情况或RENAL肾计量评分方面无显著差异。我们观察到16例LRFA手术（12.1%）和10例PRFA手术（16.9%）出现并发症（P = 0.369）。LRFA组和PRFA组并发症的分布无差异。LRFA组并发症（1级和2级）发生率（7.6%）与PRFA组（10.2%）无显著差异（P = 0.550）。LRFA组并发症（3a级）发生率（4.5%）与PRFA组（6.8%）无显著差异（P = 0.522）。多因素分析显示，额外消融时间是术后并发症的唯一预测因素。
结论：腹腔镜途径更多用于处理前部肿瘤，经皮途径更多用于处理后部肿瘤。LRFA和PRFA的并发症发生率无显著差异。额外消融时间是与术后并发症相关的重要危险因素。《泌尿学》2012年第80卷第119 - 125页。（c）2012爱思唯尔公司
OBJECTIVE To report on postoperative complications associated with laparoscopic radiofrequency ablation (LRFA) and percutaneous radiofrequency ablation (PRFA) in a single-center experience.METHODS We conducted a retrospective review of medical records for patients undergoing LRFA or PRFA between February 2006 and March 2010 at our center. Demographics, radiographic variables, and complication rates were compared between the 2 groups. Risk factors for postoperative complications after operation were analyzed with multivariate logistic regression.RESULTS Of a total 191 patients included in this study, 132 underwent LRFA and 59 underwent PRFA. There were no significant differences between the 2 groups with respect to age, gender, biopsy data, American Society of Anesthesiologists classification, body mass index, single kidney, tumor size, tumor number, glomerular filtration rate, follow-up, or RENAL nephrometry score. We observed complications in 16 LRFA procedures (12.1%) and 10 PRFA procedures (16.9%) (P = .369). There was no difference in the distribution of the complications between LRFA and PRFA groups. The complication (grades 1 and 2) rate in the LRFA group (7.6%) was not significantly different from that in the PRFA group (10.2%) (P = .550). The complication (grade 3a) rate in the LRFA group (4.5%) was not significantly different from that in the PRFA group (6.8%) (P = .522). A multivariate analysis disclosed that extra ablation time was the only predictor of postoperative complications.CONCLUSION Significantly more anterior tumors were approached laparoscopically, and significantly more posterior tumors were approached percutaneously. Complication rate was not significantly different between LRFA and PRFA. Extra ablation time was a significant risk factor associated with postoperative complications. UROLOGY 80: 119-125, 2012. (c) 2012 Elsevier Inc.