title: [Ablative treatments in localized renal cancer: literature review for 2014].
abstract: OBJECTIVE
  To focus on indications and results of ablative treatments (cyoablation, radiofrequency) for small renal masses, a bibliographic research was conducted in MedLine database using terms of "ablative treatment", "cryotherapy", "radiofrequency", "kidney cancer", "renal cell carcinoma". Sixty-four articles were selected.
  
  
  RESULTS
  Carcinologic outcomes seem to be better with cryoablation than with radiofrequency. Available results have to be balanced according to surgical approach, teams' experience and duration of follow-up. Tumour's size and central localization are the main factors of failure. The size of 3cm is the most generally validated. Hospital stay and complications seem to be better with ablative therapies than with surgical approach, especially with percutaneous approach. The renal function preservation appears to be better with ablative therapies. It could be an interesting alternative to partial nephrectomy for small masses, in particular for fragile patients or in particular indications (multifocal tumors, in case of solitary kidney or transplanted kidney). The indications in elderly people must be proposed with care after the comorbidities have been evaluated.
  
  
  CONCLUSIONS
  Indications of ablative treatment for small renal masses improve, but the gold standard treatment remains partial nephrectomy and indications must be individually discussed. Other ablative treatments are under-development, needing further studies.
authors.affiliation: Clinique d'urologie et de la transplantation, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France. Electronic address: marine.chodez@hotmail.fr.
authors.forename: M
authors.initials: M
authors.lastname: Chodez
authors.affiliation: Clinique d'urologie et de la transplantation, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France. Electronic address: gfiard@chu-grenoble.fr.
authors.forename: G
authors.initials: G
authors.lastname: Fiard
authors.affiliation: Clinique d'urologie et de la transplantation, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France. Electronic address: varnoux@chu-grenoble.fr.
authors.forename: V
authors.initials: V
authors.lastname: Arnoux
authors.affiliation: Clinique d'urologie et de la transplantation, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France. Electronic address: jldescotes@chu-grenoble.fr.
authors.forename: J-L
authors.initials: JL
authors.lastname: Descotes
authors.affiliation: Clinique d'urologie et de la transplantation, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France. Electronic address: jalong@chu-grenoble.fr.
authors.forename: J-A
authors.initials: JA
authors.lastname: Long
mesh_terms: D055011:Ablation Techniques; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D007902:Length of Stay; D059351:Organ Sparing Treatments; D011183:Postoperative Complications
keywords: Ablative treatment; Cancer du rein; Cryotherapy; Cryothérapie; Kidney cancer; Petites tumeurs du rein; Radiofrequency; Radiofréquence; Small renal masses; Traitement ablatif