Acute kidney injury and its impact on renal prognosis after robot-assisted laparoscopic radical prostatectomy.
acute kidney injury
prostate cancer
robot-assisted laparoscopic radical prostatectomy
Journal
The international journal of medical robotics + computer assisted surgery : MRCAS
ISSN: 1478-596X
Titre abrégé: Int J Med Robot
Pays: England
ID NLM: 101250764
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
06
02
2020
revised:
16
04
2020
accepted:
17
04
2020
pubmed:
4
5
2020
medline:
19
8
2021
entrez:
4
5
2020
Statut:
ppublish
Résumé
This study assessed the incidence and impact of acute kidney injury (AKI) on renal prognosis in patients who underwent robot-assisted laparoscopic radical prostatectomy (RARP). Medical records of 305 patients treated with RARP were retrospectively reviewed. The patients with postoperative AKIs were dichotomized into early AKI (immediately after surgery) and late AKI (1-7 days after surgery). The impact of AKIs and their risk factors were statistically assessed. Early and late AKI were observed in 143 (46.9%) and 12 (3.9%) patients, respectively. Hypertension and console time were independent risk factors for early AKI. Among the patients with preoperative eGFR ≥60 mL/min, the eGFR decline 12 months after surgery was significantly greater in patients with early AKI than that without early AKI (-6.8 vs -3.2 mL/min, P = .02). Approximately half of patients developed early AKI after RARP. The patients with early AKI had reduced renal function 12 months after surgery.
Sections du résumé
BACKGROUND
BACKGROUND
This study assessed the incidence and impact of acute kidney injury (AKI) on renal prognosis in patients who underwent robot-assisted laparoscopic radical prostatectomy (RARP).
METHODS
METHODS
Medical records of 305 patients treated with RARP were retrospectively reviewed. The patients with postoperative AKIs were dichotomized into early AKI (immediately after surgery) and late AKI (1-7 days after surgery). The impact of AKIs and their risk factors were statistically assessed.
RESULTS
RESULTS
Early and late AKI were observed in 143 (46.9%) and 12 (3.9%) patients, respectively. Hypertension and console time were independent risk factors for early AKI. Among the patients with preoperative eGFR ≥60 mL/min, the eGFR decline 12 months after surgery was significantly greater in patients with early AKI than that without early AKI (-6.8 vs -3.2 mL/min, P = .02).
CONCLUSIONS
CONCLUSIONS
Approximately half of patients developed early AKI after RARP. The patients with early AKI had reduced renal function 12 months after surgery.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1-7Informations de copyright
© 2020 John Wiley & Sons Ltd.
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