Sonographic Guidance of Laparoscopic Renal Cryoablation
Erick M. Remer1,
Jonathan C. Hale1,
Charles M. O'Malley1,
Karen Godec1 and
Inderbir S. Gill2
1
Division of Radiology, The Cleveland Clinic Foundation, 9500 Euclid Ave.,
Cleveland, OH 44195.
2
Section of Minimally Invasive Surgery, Department of Urology, The Cleveland
Clinic Foundation, Cleveland, OH 44195.

View larger version (60K):
[in a new window]
|
Fig. 1. Drawing shows laparoscopic sonography probe on anterior surface of
kidney opposite posterior renal tumor. Conically tipped cryoprobe is inside
renal mass. Iceball covers small portion of mass. Shaded cone emanating from
renal mass represents shadowing seen on sonographic images. (Reprinted with
permission from the Cleveland Clinic Foundation)
|
|

View larger version (142K):
[in a new window]
|
Fig. 2A. 48-year-old man with 2-cm renal cell carcinoma. Early transverse
laparoscopic sonogram with probe positioned on renal anterior surface opposite
tumor shows curvilinear hyperechogenic interface with posterior acoustical
shadowing. Small ovoid hypoechogenic area corresponds to cystic portion of
tumor not yet treated (curved arrow). Linear echo represents
cryoprobe (straight arrow).
|
|

View larger version (108K):
[in a new window]
|
Fig. 2B. 48-year-old man with 2-cm renal cell carcinoma. Sonogram obtained 8
min after A shows large iceball covering entire tumor.
|
|

View larger version (95K):
[in a new window]
|
Fig. 2C. 48-year-old man with 2-cm renal cell carcinoma. Coronal T1-weighted
breath-hold gadopentetate dimeglumine-enhanced MR image (TR/TE, 142/4.4; flip
angle, 80°) shows unenhanced cryolesion. Note thin rim of peripheral
enhancement (arrow).
|
|

CiteULike
Complore
Connotea
Del.icio.us
Digg
Reddit
Technorati What's this?
Copyright © 2000 by the American Roentgen Ray Society.