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partial nephrectomy vs. lap. cryoablation, what to choose?

hope_123
hope_123 Member Posts: 21

Hello, my surgeon gave me the choice of doing a laparosopic cryoablation or a robotic partial nephrectomy to remove my kidney tumor. Any advice, personal experience or helpful information on what to choose is welcome. What has the least complications or quicker recovery and will preserve more of my kidney function? Thank you.

Comments

  • AliceB1950
    AliceB1950 Member Posts: 132 **
    edited December 2020 #2
    What size is your tumor? If

    What size is your tumor? If you have cryoblation without a biopsy, they can't do a pathology report afterwards to determine the type of cancer, or even if it's actually cancer or a benign growth.

  • APny
    APny Member Posts: 1,995
    edited December 2020 #3
    They also can't establish

    They also can't establish negative margins if I remember correctly. I was told that ablation is recommended for elderly people who are poor candidates for surgery. The gold standard so to speak is surgery. 

  • Bay Area Guy
    Bay Area Guy Member Posts: 523 **
    edited December 2020 #4
    I had the same choice in 2016

    I had the same choice in 2016 for a 1.7 cm lesion.  At the time, the urologic oncologist said statistics for a lesion that size were a cure rate in the mid-90% or so range for ablation and a cure rate of 99%+ for surgery.  I chose the robotic surgery because of the virtual certainty that the procedure would be curative. 

  • hope_123
    hope_123 Member Posts: 21
    edited January 15 #5
    RAPN

    Thanks Bay Area Guy, have decided on robotic partial nephrectomy, it's the only way to be sure after doing lots of comparisons on procedures.

     

  • Bay Area Guy
    Bay Area Guy Member Posts: 523 **
    edited January 15 #6
    hope_123 said:

    RAPN

    Thanks Bay Area Guy, have decided on robotic partial nephrectomy, it's the only way to be sure after doing lots of comparisons on procedures.

     

    Wishing you a boring and

    Wishing you a boring and uneventful procedure and a swift recovery.

  • Biner
    Biner Member Posts: 103 **
    i thing surgery os the best

    i thing surgery os the best way

  • todd121
    todd121 Member Posts: 1,448
    Surgery

    I've had good luck with surgery. Plus you get a pathology report and know what the tumor was for future treatments. Part of the tumor will be saved for future testing for genetics for any treatments. You might get a biopsy before the ablation if you choose that so you have those things if possible.

    Best of luck to you,

    Todd