Abstract
Introduction:
As a result of the wide-spread application of cross-sectional imaging, there has been a significant rise in the incidence of small renal cortical neoplasms. The current standard of care in the management of these lesions is nephron sparing extirpative surgery. However, in the last decade, image-guided or ablative therapies have garnered significant attention as nephron sparing alternatives to partial nephrectomy. Although initially laparoscopic ablation was predominately intended for use as active treatment in those patients in whom more invasive therapy was contraindicated, as experience with laparoscopic ablation has become more robust, the indications for the procedure continue to evolve.
Methods and Materials:
In this video we will discuss patient selection and preparation, operating room logistics, targeting technique, biopsy and ablation, and the management of complications.
Results and Conclusions:
There are multiple options in the treatment of the small renal mass. Although extirpative therapy remains the standard of care, laparoscopic cryoablation plays an important role in the treatment of the small renal mass.
None of the authors submitting this video have commercial affiliations to disclose as it pertains to the video.
Runtime of video: 10 mins 55 secs
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