Thermal Ablation Guidelines of Interventional Procedures for Renal Cancer

2021.08.18  67

Professor Park, Byung Kwan from the Department of Radiology at Samsung Medical Center led his research team and researchers from Japan, Taiwan, and China to develop the guidelines of thermal ablation for renal cell carcinoma for Asian patients. Previously, established guidelines that were meant for patients in the US and Europe were applied to Asian patients.


Since 2000, various thermal ablation techniques such radio-frequency ablation (RFA), cryoablation, and microwave ablation (MWA) have been developed and utilized for clinical practice for renal cell carcinoma. Additionally, it is mainly utilized in patients who cannot be treated with surgery.


Radio-frequency ablation is the most commonly used method. It removes the tumor by inserting a thin needle into the tumor and generating heat with high frequency. The advantage is that the treatment can be repeatedly performed even in patients with multiple tumors by minimizing the decline in renal function. Furthermore, it is evaluated that it can effectively remove only the tumor without any complications and is considered to be safe with minimal pain as there are no incision sites.


Professor Park, Byung Kwan stated that although radio-frequency ablation treatment for renal cancer is increasing in Asia, there were limitations in the clinical field due to the application of Western standards. However, this guideline is an opportunity to guarantee a safer and more scientific non-invasive treatment option for renal cancer patients.


This study was published in the official journal of The Korean Urological Association.


Patients' Rights and Responsibilities

Patients' Rights

1. Right to receive medical care

Patients have the right to receive proper medical and nursing services for their Health Protection and Promotion and they will not be discriminated for gender, age, religion, status, nationality, language, race, or physical/mental/financial circumstances nor be violated of their health. Medical team may not deny medical care without justifiable reason.

2. Right to be informed & autonomous decision

Patients have the right to receive be well-informed and to inquire in detail about the treating physician’s specialty, status of their disease, purpose of the treatment, treatment plan, method, expected results and side effects of the treatment, discharge plan, medical cost, whether or not they are a subject to medical research, organ transplant/donation and etc, and to decide whether to give consent. Patients may stop or deny specific treatment or planned medical care within the ethical guideline and may decide on an alternative treatment.

3. Right to have confidentiality

Patients will not be violated of their rights to confidentiality regarding their physical/health status and privacy. Medical team and facility may not reveal or announce patient’s confidential information, including personal information, unless patient has gives consent or specified in the law, such as criminal investigation.

4. Right to request for consultation and mediation

Patients may request for consultation and mediation from an internal or external agency (Korea Consumer Agency, Korea Medical Dispute Mediation and Arbitration Agency) in the event of any medical dispute.

5. Right to be respected of values or beliefs

Patients will not be discriminated for their culture, religious values or beliefs, and their rights will not be violated.

6. Right to be physically protected and to have stability of mind and bod

Patients have the right to be protected from possible danger in the hospital and to have the stability of mind and body.


1. Responsible to trust and respect the medical team

Patients must accurately inform the medical team of their health condition, trust and respect the medical team’s treatment plan. Patients may be responsible for consequences which results from not following the instruction.

2. Responsible to not use dishonest method for medical treatment

Patients must reveal their identity before receiving any medical care and must not use false or dishonest method, such as receiving medical case under disguised ownership.

3. Responsible to abide by all hospital regulations

Patients must abide by all hospital regulations, respect hospital staff and other patients, and earnestly fulfill the financial obligation to the hospital.