After partial nephrectomy (removal of the kidney), certain surgical factors such hypertension, diabetes mellitus, surgical technique used and the remaining healthy tissue may influence kidney function after partial nephrectomy,
Highlights
- Surgical factors are the most important determinant factors for chronic kidney disease after partial nephrectomy.
- The time of ischemia and the amount of healthy remaining kidney tissue post-partial nephrectomy are considered to be an important factor for future renal function.
- Higher the remaining healthy tissue, the better are the outcome for further renal function.
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Kidney stones, urinary tract infection and neurogenic bladder, on the other hand, can also affect patients baseline renal function.
After partial nephrectomy , factors such time of ischemia, the surgical technique used, the complexity of the case, and the amount of preserved parenchyma tends to play an important role in surgical outcomes.
To avoid irreversible renal parenchymal damage, a period of 20-30 minutes has been proposed as the safest ischemia time.
Post-nephrectomy, the amount of healthy remaining kidney tissue is considered to be another important factor to check the renal function.
"Minimally invasive surgery appears to offer broader therapeutic scope for the renal masses without compromising oncological outcomes in proper hands," according to this research team.
- Oscar D. Martín, Heilen Bravo, Marcos Arias, Diego Dallos, Yesica Quiroz, Luis G. Medina, Giovanni E. Cacciamani, Raul G. Carlini. Determinant factors for chronic kidney disease after partial nephrectomy, Oncoscience (2018).https://doi.org/10.18632/oncoscience.393
Source-Medindia