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The real-time intraoperative guidance of the new HIFU Focal-One® platform allows to minimize the perioperative adverse events in salvage setting

Lookup NU author(s): Dr Pasquale RescignoORCiD

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Abstract

© 2021, Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).Purpose: To assess the use of the new Focal-One® HIFU platform in salvage setting to evaluate the occurrence of postoperative complications. Methods: Patients who underwent salvage HIFU (sHIFU) with Focal-One® platform were enrolled prospectively (Candiolo cancer institute—FPO IRCCS; registry number: 258/2018). Perioperative and postoperative outcomes (in terms of oncological and functional ones) were recorded during the first year of follow-up. In particular postoperative complications were classified according to Clavien–Dindo system. Results: 20 patients were enrolled. No grade 3 complications were recorded. Referring to grade 2 complications, eight patients reported urgency after 3 months of follow-up, and in 4 cases, a low urinary tract infection occurred. Evaluating the impact of sHIFU on patients’ sexual potency, micturition and quality of life, no significant deterioration was recorded during the follow-up as proven using the ANOVA analysis for repeated measurements. Only two patient had a biochemical failure after 12 months of follow-up. Conclusions: The real-time intraoperative guidance with Focal-One® platform, allows a continuous monitoring and tailoring of the treatment, with a minimization of the adverse events even in a salvage setting.


Publication metadata

Author(s): Checcucci E, De Luca S, Piramide F, Garrou D, Mosca A, Galla A, Belli G, Russo F, Rescigno P, Poti C, Amparore D, Verri P, Volpi G, Manfredi M, Fiori C, Porpiglia F

Publication type: Article

Publication status: Published

Journal: Journal of Ultrasound

Year: 2022

Volume: 25

Issue: 2

Pages: 225-232

Print publication date: 01/06/2022

Online publication date: 24/05/2021

Acceptance date: 14/05/2021

ISSN (print): 1971-3495

ISSN (electronic): 1876-7931

Publisher: Springer Science and Business Media Deutschland GmbH

URL: https://doi.org/10.1007/s40477-021-00594-8

DOI: 10.1007/s40477-021-00594-8

PubMed id: 34031862


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