Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press31010.17650/1726-9776-2012-8-2-21-27DIAGNOSIS AND TREATMENT OF URINARY SYSTEM TUMORS. RENAL CANCERДИАГНОСТИКА И ЛЕЧЕНИЕ ОПУХОЛЕЙ МОЧЕПОЛОВОЙ СИСТЕМЫ. Рак почкиLAPAROSCOPIC NEPHRECTOMY USING RADIOFREQUENCY THERMAL ABLATIONЛАПАРОСКОПИЧЕСКАЯ РЕЗЕКЦИЯ ПОЧКИ С ПРИМЕНЕНИЕМ РАДИОЧАСТОТНОЙ ТЕРМОАБЛАЦИИAlekseevB. Ya.АлексеевБ. Я.
Russian Federation

Department of Urology with a Course of Oncourology, Faculty of Advanced Training, People’s Friendship University of Russia, Moscow

кафедра урологии с курсом онкоурологии ФПК МР РУДН

byalekseev@mail.ruKalpinskyA. S.КалпинскийА. С.
Russian Federation

Department of Urology with a Course of Oncourology, Faculty of Advanced Training, People’s Friendship University of Russia, Moscow

кафедра урологии с курсом онкоурологии ФПК МР РУДН

byalekseev@mail.ruPolyakovV. A.ПоляковВ. А.
Russian Federation

Department of Urology with a Course of Oncourology, Faculty of Advanced Training, People’s Friendship University of Russia, Moscow

кафедра урологии с курсом онкоурологии ФПК МР РУДН

byalekseev@mail.ruAndrianovA. N.АндриановА. Н.
Russian Federation

Department of Urology with a Course of Oncourology, Faculty of Advanced Training, People’s Friendship University of Russia, Moscow

кафедра урологии с курсом онкоурологии ФПК МР РУДН

byalekseev@mail.ruP.A. Herzen Moscow Oncology Research InstituteМНИОИ им. П.А. Герцена300620128221270508201405082014https://oncourology.abvpress.ru/oncur/article/view/310

The wide use of current diagnostic techniques, such as ultrasound study, computed tomography, and magnetic resonance imaging, has led to significantly increased detection rates for disease in its early stages. This gave rise to a change in the standards for the treatment of locally advanced renal cell carcinoma (RCC). Laparoscopic nephrectomy (LN) has recently become the standard treatment of locally advanced RCC in the clinics having much experience with laparoscopic surgery. The chief drawback of LN is difficulties in maintaining intraoperative hemostasis and a need for creating renal tissue ischemia. The paper gives the intermediate results of application of the new procedure of LN using radiofrequency thermal ablation in patients with non-ischemic early-stage RCC.

С широким распространением современных методов диагностики, таких как ультразвуковое исследование, компьютерная и магнитно-резонансная томография, значительно возросла выявляемость заболевания на ранних стадиях. В результате произошла смена стандартов лечения локализованного почечно-клеточного рака (ПКР). Лапароскопическая резекция почки (ЛРП) в последнее время стала стандартом лечения локализованного ПКР в клиниках, обладающих значительным опытом лапароскопической хирургии. Основным недостатком ЛРП являются трудности в обеспечении интраоперационного гемостаза и необходимость создания ишемии почечной ткани. В статье представлены промежуточные результаты применения новой методики ЛРП с использованием радиочастотной термоаблации, без ишемии у больных ранними стадиями ПКР.

renal cell carcinomalaparoscopic nephrectomyradiofrequency ablationпочечно-клеточный раклапароскопическая резекция почкирадиочастотная аблация1. Злокачественные новообразования в России в 2010 году. Под ред. В.И. Чиссова, В.В. Старинского, Г.В. Петровой. М., 2012.Злокачественные новообразования в России в 2010 году. Под ред. В.И. Чиссова, В.В. Старинского, Г.В. Петровой. М., 2012.2. Nguyen M.M., Gill I.S., Ellison L.M. The evolving presentation of renal carcinoma in the United States: trends from the Surveillance, Epidemiology, and End Results program. J Urol 2006;176:2397−400.Nguyen M.M., Gill I.S., Ellison L.M. The evolving presentation of renal carcinoma in the United States: trends from the Surveillance, Epidemiology, and End Results program. J Urol 2006;176:2397−400.3. Novick A.C. The Role of Nephron-Sparing surgery for renal cell carcinoma. Eur Urol 1990; 18 (suppl. 2): 24−5.Novick A.C. The Role of Nephron-Sparing surgery for renal cell carcinoma. Eur Urol 1990; 18 (suppl. 2): 24−5.4. Novick A.C. Nephron-sparing surgery for renal cell carcinoma. Br J Urol 1998;82(3): 321−4.Novick A.C. Nephron-sparing surgery for renal cell carcinoma. Br J Urol 1998;82(3): 321−4.5. Pahernik S., Ross F., Hampel C., Gillitzer R. et al. Nephron sparing surgery for renal cell carcinoma with normal contralateral kidney: 25 years of experience. J Urol 2006;175(6):2027−31.Pahernik S., Ross F., Hampel C., Gillitzer R. et al. Nephron sparing surgery for renal cell carcinoma with normal contralateral kidney: 25 years of experience. J Urol 2006;175(6):2027−31.6. Patard J.J., Shvarts O., Lam J.S. et al. Safety and efficacy of partial nephrectomy for all T1 tumors based on an international multicenter experience. J Urol 2004;171(6 Pt 1):2181−5.Patard J.J., Shvarts O., Lam J.S. et al. Safety and efficacy of partial nephrectomy for all T1 tumors based on an international multicenter experience. J Urol 2004;171(6 Pt 1):2181−5.7. Ljungberg B., Handury D.C., Kuczyk M.A. et al. Renal cell carcinoma guideline. Eur Urol 2007;51(6):1502−10.Ljungberg B., Handury D.C., Kuczyk M.A. et al. Renal cell carcinoma guideline. Eur Urol 2007;51(6):1502−10.8. Campbell S.C., Novick A.C., Belldegrun A. et al. Guideline for management of the clinical T1 renal mass. J Urol 2009;182(4):1271−9.Campbell S.C., Novick A.C., Belldegrun A. et al. Guideline for management of the clinical T1 renal mass. J Urol 2009;182(4):1271−9.9. Permpongkosol S., Bagga H.S., Romero F.R. et al. Laparoscopic versus open partial nephrectomy for the treatment of pathological T1N0M0 renal cell carcinoma: a 5-year survival rate. J Urol 2006;176:1984−8.Permpongkosol S., Bagga H.S., Romero F.R. et al. Laparoscopic versus open partial nephrectomy for the treatment of pathological T1N0M0 renal cell carcinoma: a 5-year survival rate. J Urol 2006;176:1984−8.10. Miller D.C., Hollingsworth J.M., Hafez K.S. et al. Partial nephrectomy for small renal masses: an emerging quality of care concern? J Urol 2006;175:853−7.Miller D.C., Hollingsworth J.M., Hafez K.S. et al. Partial nephrectomy for small renal masses: an emerging quality of care concern? J Urol 2006;175:853−7.11. Lane B.R., Babineau D.C., Poggio E.D. et al. Factors predicting renal function outcome after partial nephrectomy. J Urol 2008; 180(6):2363−9.Lane B.R., Babineau D.C., Poggio E.D. et al. Factors predicting renal function outcome after partial nephrectomy. J Urol 2008; 180(6):2363−9.12. Thompson R.H., Frank I., Lohse C.M. et al. The impact of ischemia time during open nephron sparing surgery on solitary kidneys: a Multi-Institutional Study. J Urol 2007; 177(2):471−6.Thompson R.H., Frank I., Lohse C.M. et al. The impact of ischemia time during open nephron sparing surgery on solitary kidneys: a Multi-Institutional Study. J Urol 2007; 177(2):471−6.13. Bhayani S.B., Rha K.H., Pinto P.A. et al. Laparoscopic partial nephrectomy: effect of warm ischemia on serum creatinine. J Urol 2004;172:1264−6.Bhayani S.B., Rha K.H., Pinto P.A. et al. Laparoscopic partial nephrectomy: effect of warm ischemia on serum creatinine. J Urol 2004;172:1264−6.14. Godoy G., Ramanathan V., Kanofsky J.A. et al. Effect of warm ischemia time during laparoscopic partial nephrectomy on early postoperative glomerular filtration rate. J Urol 2009;181:2438−43.Godoy G., Ramanathan V., Kanofsky J.A. et al. Effect of warm ischemia time during laparoscopic partial nephrectomy on early postoperative glomerular filtration rate. J Urol 2009;181:2438−43.15. Porpiglia F., Renard J., Billia M. et al. Is renal warm ischemia over 30 minutes during laparoscopic partial nephrectomy possible? one-year results of a prospective study. Eur Urol 2007;52:1170−8.Porpiglia F., Renard J., Billia M. et al. Is renal warm ischemia over 30 minutes during laparoscopic partial nephrectomy possible? one-year results of a prospective study. Eur Urol 2007;52:1170−8.16. Gallucci M., Guaglianone S., Carpanese L. et al. Superselective embolization as first step of laparoscopic partial nephrectomy. Urology 2007;69(4):642−5.Gallucci M., Guaglianone S., Carpanese L. et al. Superselective embolization as first step of laparoscopic partial nephrectomy. Urology 2007;69(4):642−5.17. Moinzadeh A., Gill I.S., Rubenstein M. et al. Potassium-titanyl-phosphate laser laparoscopic partial nephrectomy without hilar clamping in the survival calf model. J Urol 2005;174(3):1110−4.Moinzadeh A., Gill I.S., Rubenstein M. et al. Potassium-titanyl-phosphate laser laparoscopic partial nephrectomy without hilar clamping in the survival calf model. J Urol 2005;174(3):1110−4.18. Terai A., Ito N., Yoshimura K. et al. Laparoscopic partial nephrectomy using microwave tissue coagulator for small renal tumors: usefulness and complications. Eur Urol 2004;45)6):744−8.Terai A., Ito N., Yoshimura K. et al. Laparoscopic partial nephrectomy using microwave tissue coagulator for small renal tumors: usefulness and complications. Eur Urol 2004;45)6):744−8.19. Jacomides L., Ogan K., Watumull L., Cadeddu J.A. Laparoscopic application of radio frequency energy enables in situ renal tumor ablation and partial nephrectomy. J Urol 2003;169: 49−53.Jacomides L., Ogan K., Watumull L., Cadeddu J.A. Laparoscopic application of radio frequency energy enables in situ renal tumor ablation and partial nephrectomy. J Urol 2003;169: 49−53.20. Gettman M.T., Bishoff J.T., Su L.M. et al. Hemostatic laparoscopic partial nephrectomy: initial experience with the radiofrequency coagulation-assisted technique. Urology 2001; 58: 8−11.Gettman M.T., Bishoff J.T., Su L.M. et al. Hemostatic laparoscopic partial nephrectomy: initial experience with the radiofrequency coagulation-assisted technique. Urology 2001; 58: 8−11.21. Zeltser I.S., Moonat S., Park S. et al. Intermediate-term prospective results of radiofrequency-assisted laparoscopic partial nephrectomy: a non-ischaemic coagulative technique. BJU Intl 2008;101:36−8.Zeltser I.S., Moonat S., Park S. et al. Intermediate-term prospective results of radiofrequency-assisted laparoscopic partial nephrectomy: a non-ischaemic coagulative technique. BJU Intl 2008;101:36−8.22. Gill I.S., Eisenberg M.S., Aron M. et al. “Zero ischemia” partial nephrectomy: novel laparoscopic and robotic technique. Eur Urol 2011;59:128−34.Gill I.S., Eisenberg M.S., Aron M. et al. “Zero ischemia” partial nephrectomy: novel laparoscopic and robotic technique. Eur Urol 2011;59:128−34.23. Casey K.Ng., Gill I.S., Mukul B.P. et al. Anatomic Arenal artery branch microdissection to facilitate zero-ischemia partial nephrectomy. Eur Urol 2012;61:67−4.Casey K.Ng., Gill I.S., Mukul B.P. et al. Anatomic Arenal artery branch microdissection to facilitate zero-ischemia partial nephrectomy. Eur Urol 2012;61:67−4.24. Go A.S., Chertow G.M., Fan D. et al. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med 2004;351(13):1296−305.Go A.S., Chertow G.M., Fan D. et al. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med 2004;351(13):1296−305.25. Gill I.S., Kamoi K., Aron M., Desai M.M. 800 Laparoscopic partial nephrectomies: a single surgeon series. J Urol 2010; 183(1):34−41.Gill I.S., Kamoi K., Aron M., Desai M.M. 800 Laparoscopic partial nephrectomies: a single surgeon series. J Urol 2010; 183(1):34−41.26. Gill I.S., Kavoussi L.R., Lane B.R. et al. Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. J Urol 2007;178(1): 41−6.Gill I.S., Kavoussi L.R., Lane B.R. et al. Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. J Urol 2007;178(1): 41−6.27. Guillonneau B., Gupta R., Adorno Rosa J. et al. Initial experience in laparoscopic partial nephrectomy for renal tumor with clamping of renal vessels. J Endourol 2003;17(6):373−8.Guillonneau B., Gupta R., Adorno Rosa J. et al. Initial experience in laparoscopic partial nephrectomy for renal tumor with clamping of renal vessels. J Endourol 2003;17(6):373−8.28. Johnston W.K. III, Montgomery J.S., Seifman B.D. et al. Fibrin glue V sutured bolster: lessons learned during 100 laparoscopic partial nephrectomies. J Urol 2005; 174(1):47−52.Johnston W.K. III, Montgomery J.S., Seifman B.D. et al. Fibrin glue V sutured bolster: lessons learned during 100 laparoscopic partial nephrectomies. J Urol 2005; 174(1):47−52.