Impact of warm ischemia time on the change of split renal function after minimally invasive partial nephrectomy in Taiwanese patients
| Autor: | Hung-Keng Li, Alex T.L. Lin, Eric Yi Hsiu Huang, Kuang-Kuo Chen, Hsiao-Jen Chung |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Population Taiwan laparoscopy Renal function Kidney Asian People Blood loss medicine nephrectomy Humans Minimally Invasive Surgical Procedures Postoperative Period Laparoscopy education Medicine(all) robotics warm ischemia education.field_of_study lcsh:R5-920 medicine.diagnostic_test Warm Ischemia Time Tumor size business.industry Standard treatment General Medicine Middle Aged Nephrectomy Surgery Female business lcsh:Medicine (General) |
| Zdroj: | Journal of the Chinese Medical Association, Vol 78, Iss 1, Pp 62-66 (2015) |
| ISSN: | 1726-4901 |
| Popis: | Background: Nephron-sparing surgery has become the standard treatment for T1 renal tumors. However, relevant data on the Taiwanese population are lacking, and most of the current literature uses global instead of split renal function (SRF) for postoperative renal function follow-up. We evaluated the postoperative renal function after minimally invasive partial nephrectomy in Taiwanese patients. Methods: We retrospectively reviewed our database from April 2004 to July 2012 and enrolled patients who received laparoscopic partial nephrectomy (LPN) or robot-assisted partial nephrectomy (RPN). The estimated glomerular filtration rate (eGFR) and SRF were calculated as representatives of renal function. The preoperative and 6- and 12-month postoperative renal functions were assessed. Freidman test was used to evaluate pre- and postoperative renal function changes; Wilcoxon test was used for comparing the renal function of each period. Results: The 6- and 12-month postoperative SRF values were decreased compared with the preoperative values. Multivariate analysis revealed that older age was related to a lower postoperative eGFR, and a longer warm ischemia time was related to a decreased postoperative SRF. Patients with a warm ischemia time of >30 minutes were correlated with a larger mean tumor size, higher “preoperative aspects and dimensions used for an anatomical” score, greater amount of blood loss during the operation, longer postoperative hospital stay, and lower postoperative SRF compared with patients with a warm ischemia time of |
| Databáze: | OpenAIRE |
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