Navigated kidney ablation

Navigated ablation of metastatic, light cell, renal carcinoma. Microwave ablation of the left kidney tumor under general anesthesia. The aim of the treatment was to remove the tumour while maintaining the functionality of the left kidney so that the patient would not be required to dialyse in the future.


Name: Dr. med. Levent Kara (EBIR)


Institution: Stadtspital Triemli, Zürich, Switzerland


Patient age and sex: 50 years, female


Initial condition:

  • Metastatic light cell renal cell carcinoma, initial on the right kidney pT2a, pN0 (0/11), pM1, Fuhrman grade III (ED 09/13)
  • Status after laparoscopic tumor phrectomy right 10/13
  • Status after total pancreatectomy and en bloc splenectomy 11/13 in multiple pancreatic metastases
  • Status after transsternal bilateral metastasectomy of a total of 7 lung metastases, 01/18
  • Currently: CT staging with size progressive left kidney tumor

Treatment: Microwave ablation of the left kidney tumor under general anesthesia. The aim of the treatment was to remove the tumour while maintaining the functionality of the left kidney so that the patient would not be required to dialyse in the future. In a surgical tumour resection, too much healthy kidney tissue would be removed, which is urgently needed by the patient to avoid dialysis. Therefore, the decision of the tumour board was unanimous in favour of ablation. Thanks to the navigation system, the antenna could be placed centrally in the tumour with high precision and thus post ablation could be avoided.


Conclusion: Follow up CT September 12, 2018: Complete ablation - In the area of the aforementioned left kidney tumor, no contrast medium absorption, no perfusion in status after thermal ablation

 

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Treatment overview 

 

Navigierte Nierenablation 01

1. Axial overview of tumor (pre-ablation)

 

Navigierte Nierenablation 02

2. Coronal plane of the tumor (pre-ablation)

 

Navigierte Nierenablation 03

3. Needle validation with CAS-One Aiming Device

 

Navigierte Nierenablation 04

4. Follow-up CT 8 months after ablation

 

 

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