Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution

Autor: Meylis Artykov, Hakan Bahadır Haberal, Ömer Faruk Bahadır, Ahmet Güdeloğlu, Bülent Akdoğan, Fazıl Tuncay Aki, Cenk Yücel Bilen, Sertaç Yazıcı
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Urological Surgery, Vol 10, Iss 2, Pp 139-146 (2023)
Druh dokumentu: article
ISSN: 2148-9580
DOI: 10.4274/jus.galenos.2022.2022.0038
Popis: Objective:To determine which preoperative patient characteristics are predictive of intraoperative complications (IOC) and postoperative complications (POC) in patients undergoing nephrectomy for non-oncological diseases.Materials and Methods:Demographics, pre-operative characteristics, the surgical technique and perioperative outcomes of 295 adult patients who had underwent simple nephrectomy between 2002 and 2019 in a single reference institution were analyzed retrospectively. Univariate and multivariable statistical analyses were performed to determine the factors affecting POC (Clavien-Dindo score ≥1) and IOC. All statistical analyses were performed using the Statistical Package for the Social Sciences v. 24.0 (SPSS Inc., Chicago, IL, USA) software for Windows.Results:The mean age of the patients was 44.84±15.51 years, with a female-to-male ratio of 154/141. The statistically significant factors associated with IOC in the multivariable analysis were male gender, higher American Society of Anesthesiologists (ASA) score and urgent surgical intervention (p=0.002, p=0.001, p=0.021, respectively). In multivariable analysis, preoperative anemia, emergency surgery and open surgery were found to be statistically significant and associated with POC (p
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