title: Retrospective comparison of laparoscopic partial nephrectomy versus laparoscopic renal cryoablation for small (<3.5 cm) cortical renal masses.
abstract: OBJECTIVE
  We compared perioperative and short-term outcomes of renal laparoscopic partial nephrectomy (LPN) and laparoscopic cryoablation (LCA) in patients with small (<3.5 cm) renal cortical neoplasms.
  
  
  METHODS
  A retrospective analysis from our prospectively established database was performed. We identified 92 patients with 95 lesions treated with LPN and 75 patients with 91 lesions treated with LCA.
  
  
  RESULTS
  The LPN and LCA groups were comparable in mean tumor size and preoperative and postoperative creatinine level (P=.495, P=.953, and P=.101) respectively. Patients undergoing LPN were younger in age (58.8 versus 69.2 years, P<.001), had a higher mean estimated blood loss (168.4 versus 6  mL, P=.005), and had a prolonged mean operative time (151.6 versus 128.6 minutes, P=.01). Six complications occurred in the LCA group and 11 in the LPN group. The median follow-up time was 21.8 months for LPN and 14 months for LCA (P<.001). Two recurrences were detected in the LCA group, and 1 recurrence was reported after LPN.
  
  
  CONCLUSIONS
  In the treatment of small renal cortical neoplasms with short-term follow-up, LPN and LCA seem to be equally effective. LCA offers decreased blood loss, shorter operative time, and less morbidity. Longer follow-up is required to establish oncologic efficacy.
authors.affiliation: Department of Urology, Columbia University Medical Center, New York, New York, USA.
authors.forename: Georgios
authors.initials: G
authors.lastname: Haramis
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Graversen
authors.forename: Adam C
authors.initials: AC
authors.lastname: Mues
authors.forename: Ruslan
authors.initials: R
authors.lastname: Korets
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Rosales
authors.forename: Zhamshid
authors.initials: Z
authors.lastname: Okhunov
authors.forename: Ketan K
authors.initials: KK
authors.lastname: Badani
authors.forename: Mantu
authors.initials: M
authors.lastname: Gupta
authors.forename: Jaime
authors.initials: J
authors.lastname: Landman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003452:Cryosurgery; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D012189:Retrospective Studies