Thermal Damage of the Genitofemoral Nerve Due to Radiofrequency Ablation of Renal Cell Carcinoma: A Potentially Avoidable Complication
- 1 December 2005
- journal article
- Published by American Roentgen Ray Society in American Journal of Roentgenology
- Vol. 185 (6), 1627-1631
- https://doi.org/10.2214/ajr.04.1946
Abstract
OBJECTIVE. A technique is presented that may prevent damage to the genitofemoral nerve during percutaneous radiofrequency ablation of renal cell carcinomas. The genitofemoral nerve originates from the upper part of the lumbar plexus and descends laterally along the psoas major muscle, which is anatomically close to the kidney. During radiofrequency ablation, nearby healthy nerve tissue could be damaged by heat conductance. In the described technique, the radiofrequency applicator within the renal tumor is used as a lever to displace the kidney away from the psoas muscle. CONCLUSION. Three clinical cases are presented in this study. In one case, the technique was not applied, leading to coagulation of the genitofemoral nerve. In the other two cases, hazard to the genitofemoral nerve was averted by using the mentioned technique.Keywords
This publication has 8 references indexed in Scilit:
- Radiofrequency Ablation: In Vivo Comparison of Four Commercially Available Devices in Pig LiversRadiology, 2004
- Thermal Protection During Radiofrequency AblationAmerican Journal of Roentgenology, 2004
- Imaging-Guided Radiofrequency Ablation of Solid Renal TumorsAmerican Journal of Roentgenology, 2003
- Treatment of Focal Liver Tumors with Percutaneous Radio-frequency Ablation: Complications Encountered in a Multicenter StudyRadiology, 2003
- Renal Cell Carcinoma: Clinical Experience and Technical Success with Radio-frequency Ablation of 42 TumorsRadiology, 2003
- Complications of radiofrequency coagulation of liver tumoursBritish Journal of Surgery, 2002
- Nephrectomy - indications, complications and postoperative mortality in 646 consecutive patients.European Urology, 2000
- Management of small unilateral renal cell carcinomas: Radical versus nephron-sparing surgeryUrology, 1995