Kidney Diseases,Cystic Clinical Trial
Official title:
Efficacy and Safety of Microwave Ablation in BosniakⅠ~ⅡF Cystic Renal Lesions: Clinical Outcomes of a Randomised Controlled Trial
The purpose of this study is to determine whether microwave ablation is more effective in the treatment of simple renal cysts than conventional laparoscopic decortication.
Background: Simple renal cysts are the most common renal masses, and occur in half of all
patients older than 50 years.They are usually asymptomatic and benign, asymptomatic and
discovered incidentally. However, over time, these simple cysts can enlarge, become
symptomatic and develop complications, requiring intervention.They can be managed by a
variety of surgical and percutaneous methods, including percutaneous aspiration (with or
without injection of a sclerosing agent), endoscopic marsupialization or excision, open
surgery and laparoscopic cyst excision.Percutaneous aspiration and sclerotherapy have been
described as safe and effective methods of managing symptomatic simple renal cysts without
the cost and morbidity associated with conventional surgery and laparoscopy.However,
laparoscopic decortications and simple aspiration is associated with a high recurrence rate
because the cyst wall epithelium is responsible for active liquid production.
Purpose:To determine whether microwave ablation is more effective in the treatment of simple
renal cysts than conventional laparoscopic decortication.
Method:
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