Laparoscopic Renal Cryoablation Versus Laparoscopic Partial Nephrectomy for the Treatment of Small Renal Masses: A Systematic Review and Meta-analysis of Comparative Studies

2014 ◽  
Vol 24 (6) ◽  
pp. 403-410 ◽  
Author(s):  
Kun Tang ◽  
Weimin Yao ◽  
Heng Li ◽  
Xiaolin Guo ◽  
Wei Guan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Partial Nephrectomy ◽  
Comparative Studies ◽  
Meta Analysis ◽  
Laparoscopic Partial Nephrectomy ◽  
Small Renal Masses ◽  
Renal Masses

Ablative therapies versus partial nephrectomy for small renal masses – A systematic review and meta-analysis

2021 ◽  
pp. 106194
Author(s):  
Vinson Wai-Shun Chan ◽  
Ahmad Abul ◽  
Filzah Hanis Osman ◽  
Helen Hoi-Lam Ng ◽  
Kaiwen Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Partial Nephrectomy ◽  
Meta Analysis ◽  
Small Renal Masses ◽  
Renal Masses ◽  
Ablative Therapies

scholarly journals 1637 Ablative Therapies Versus Partial Nephrectomy for Small Renal Masses: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
V W S Chan ◽  
A Abul ◽  
H H L Ng ◽  
F H Osman ◽  
K Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Renal Function ◽  
Propensity Score ◽  
Partial Nephrectomy ◽  
Meta Analysis ◽  
Complication Rates ◽  
Small Renal Masses ◽  
Renal Masses ◽  
Free Survival ◽  
Ablative Therapies

Abstract Introduction The optimal management of small renal masses is unclear. Ablative therapies (AT) have been advocated as a potential alternative due to lower complication rates and non-inferior oncological outcomes. We performed a systematic review to compare AT and partial nephrectomy (PN) in patients with T1aN0M0 renal masses. Method This review is registered on PROSPERO (CRD42020199099). A search was performed on Medline, EMBASE, and Cochrane CENTRAL to identify studies comparing AT and PN. Different modalities and approaches were analysed as subgroups. Outcomes include cancer-specific survival (CSS), overall survival (OS), recurrence-free survival (RFS), metastatic-free survival (MFS), postoperative complications, and change in renal function. Results From 1,351 identified records, 30 studies incorporating 85,837 patients were included for meta-analysis. Patients receiving AT were found to have significantly worse CSS, OS, RFS when compared to patients receiving PN (p < 0.05). Patients undergoing AT have a non-inferior MFS and significantly fewer overall complications (HR: 0.79, 95% CI 0.41-1.51, p = 0.48; RR: 0.71, 95% CI 0.53-0.96, p = 0.03). Patients undergoing AT have a smaller decline in renal function post-operatively (SMD: 0.30, 95% CI 0.11-0.50). When limited to studies with propensity score matching, CSS and RFS are no longer significantly different between the two groups (HR: 1.54, 95% CI 0.67-3.52, p = 0.31, HR: 1.72, 95% CI 0.90-3.28, p = 0.10). Subgroup analyses did not show significant differences between different modalities and approaches of AT in all outcomes. Conclusions AT is potentially non-inferior to PN when managing small renal masses, and more high-quality propensity score-matched studies with long follow-up time are needed to confirm the non-inferiority.

Partial nephrectomy versus ablative techniques for small renal masses: a systematic review and network meta-analysis

2018 ◽  
Vol 29 (3) ◽  
pp. 1293-1307 ◽  
Author(s):  
Johannes Uhlig ◽  
Arne Strauss ◽  
Gerta Rücker ◽  
Ali Seif Amir Hosseini ◽  
Joachim Lotz ◽  
...  
Keyword(s):  
Systematic Review ◽  
Partial Nephrectomy ◽  
Meta Analysis ◽  
Small Renal Masses ◽  
Renal Masses ◽  
Ablative Techniques
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