Yıl: 2023 Cilt: 10 Sayı: 2 Sayfa Aralığı: 139 - 146 Metin Dili: İngilizce DOI: 10.4274/jus.galenos.2022.2022.0038 İndeks Tarihi: 06-06-2023

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

Öz:
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<0.001, p=0.004, and p=0.049, respectively). Conclusion: Improved surgical outcomes can be achieved through treatment adapted to individual preoperative characteristics such as ASA score, pre-operative hemoglobin level and male gender. An elective laparoscopic approach should be used whenever possible.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Raman JD, Sooriakumaran P, Cadeddu JA, Rane A. Radical and non-radical nephrectomy: no place for 'simple'. BJU Int 2009;103:855-856.
  • 2. Zelhof B, McIntyre IG, Fowler SM, Napier-Hemy RD, Burke DM, Grey BR, British Association of Urological S. Nephrectomy for benign disease in the UK: results from the British Association of Urological Surgeons nephrectomy database. BJU Int 2016;117:138-144.
  • 3. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240:205-213.
  • 4. Levey AS, Bosch JP, Lewis JB, Greene T, Rogers N, Roth D. A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study Group. Ann Intern Med 1999;130:461-470.
  • 5. Cappellini MD, Motta I. Anemia in Clinical Practice-Definition and Classification: Does Hemoglobin Change With Aging? Semin Hematol 2015;52:261-269.
  • 6. Ames KS, Baky F, Blair S, Sanchez J, Franklin W, Barefoot A, Mears J, Magness P, Johnson B, Bakare T, Hudak S, Antonelli J, Hutchinson R, Lotan Y, Woldu SL. Simple Nephrectomy in a Tertiary Care Safety Net Hospital-Patient Characteristics, Causes, Cost, and Renal Function Implications. Urology 2021;149:98-102.
  • 7. Connolly SS, O'Brien MF, Kunni IM, Phelan E, Conroy R, Thornhill JA, Grainger R. Is simple nephrectomy truly simple? Comparison with the radical alternative. Ir J Med Sci 2011;180:177-179.
  • 8. Hemal AK, Gupta NP, Wadhwa SN, Goel A, Kumar R. Retroperitoneoscopic nephrectomy and nephroureterectomy for benign nonfunctioning kidneys: a single-center experience. Urology 2001;57:644-649.
  • 9. Hsiao W, Pattaras JG. Not so "simple" laparoscopic nephrectomy: outcomes and complications of a 7-year experience. J Endourol 2008;22:2285-2290.
  • 10. Manohar T, Desai M, Desai M. Laparoscopic nephrectomy for benign and inflammatory conditions. J Endourol 2007;21:1323-1328.
  • 11. Duarte RJ, Mitre AI, Chambo JL, Arap MA, Srougi M. Laparoscopic nephrectomy outside gerota fascia for management of inflammatory kidney. J Endourol 2008;22:681-686.
  • 12. Angerri O, Lopez JM, Sanchez-Martin F, Millan-Rodriguez F, Rosales A, Villavicencio H. Simple Laparoscopic Nephrectomy in Stone Disease: Not Always Simple. J Endourol 2016;30:1095-1098.
  • 13. Greenstein A, Kaver I, Chen J, Matzkin H. Does preoperative nephrostomy increase the incidence of wound infection after nephrectomy? Urology 1999;53:50-52.
  • 14. Carrillo-Cordova LD, Jimenez-Villavicencio JM, Vitar-Sandoval J, Sarabia- Estrada RC, Rivera-Astorga H, Lemus-Mena GR, Sanchez-Meza E, Carrillo- Cordova JR, Camilo-Martinez EJ, Rosas-Ramirez A, Virgen-Gutierrez JF, Jaspersen-Gastelum J, Garduno-Arteaga ML. Comparison of results of open simple nephrectomy secondary to lithiasis in patients with and without nephrostomy. Cirugia Y Cirujanos 2017;85:325-329.
  • 15. Danilovic A, Ferreira TAC, Maia GVA, Torricelli FCM, Mazzucchi E, Nahas WC, Srougi M. Predictors of surgical complications of nephrectomy for urolithiasis. Int Braz J Urol 2019;45:100-107.
  • 16. Lubennikov AE, Petrovskii NV, Krupinov GE, Shilov EM, Trushkin RN, Kotenko ON, Glybochko PV. Bilateral Nephrectomy in Patients with Autosomal Dominant Polycystic Kidney Disease and End-Stage Chronic Renal Failure. Nephron 2021;145:164-170.
APA Artykov M, Haberal H, Bahadir O, Gudeloglu A, AKDOĞAN B, AKI F, Bilen C, YAZICI S (2023). Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution. , 139 - 146. 10.4274/jus.galenos.2022.2022.0038
Chicago Artykov Meylis,Haberal Hakan Bahadır,Bahadir Omer Faruk,Gudeloglu Ahmet,AKDOĞAN BÜLENT,AKI FAZIL TUNCAY,Bilen Cenk Yucel,YAZICI SERTAC Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution. (2023): 139 - 146. 10.4274/jus.galenos.2022.2022.0038
MLA Artykov Meylis,Haberal Hakan Bahadır,Bahadir Omer Faruk,Gudeloglu Ahmet,AKDOĞAN BÜLENT,AKI FAZIL TUNCAY,Bilen Cenk Yucel,YAZICI SERTAC Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution. , 2023, ss.139 - 146. 10.4274/jus.galenos.2022.2022.0038
AMA Artykov M,Haberal H,Bahadir O,Gudeloglu A,AKDOĞAN B,AKI F,Bilen C,YAZICI S Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution. . 2023; 139 - 146. 10.4274/jus.galenos.2022.2022.0038
Vancouver Artykov M,Haberal H,Bahadir O,Gudeloglu A,AKDOĞAN B,AKI F,Bilen C,YAZICI S Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution. . 2023; 139 - 146. 10.4274/jus.galenos.2022.2022.0038
IEEE Artykov M,Haberal H,Bahadir O,Gudeloglu A,AKDOĞAN B,AKI F,Bilen C,YAZICI S "Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution." , ss.139 - 146, 2023. 10.4274/jus.galenos.2022.2022.0038
ISNAD Artykov, Meylis vd. "Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution". (2023), 139-146. https://doi.org/10.4274/jus.galenos.2022.2022.0038
APA Artykov M, Haberal H, Bahadir O, Gudeloglu A, AKDOĞAN B, AKI F, Bilen C, YAZICI S (2023). Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution. Journal of Urological Surgery, 10(2), 139 - 146. 10.4274/jus.galenos.2022.2022.0038
Chicago Artykov Meylis,Haberal Hakan Bahadır,Bahadir Omer Faruk,Gudeloglu Ahmet,AKDOĞAN BÜLENT,AKI FAZIL TUNCAY,Bilen Cenk Yucel,YAZICI SERTAC Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution. Journal of Urological Surgery 10, no.2 (2023): 139 - 146. 10.4274/jus.galenos.2022.2022.0038
MLA Artykov Meylis,Haberal Hakan Bahadır,Bahadir Omer Faruk,Gudeloglu Ahmet,AKDOĞAN BÜLENT,AKI FAZIL TUNCAY,Bilen Cenk Yucel,YAZICI SERTAC Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution. Journal of Urological Surgery, vol.10, no.2, 2023, ss.139 - 146. 10.4274/jus.galenos.2022.2022.0038
AMA Artykov M,Haberal H,Bahadir O,Gudeloglu A,AKDOĞAN B,AKI F,Bilen C,YAZICI S Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution. Journal of Urological Surgery. 2023; 10(2): 139 - 146. 10.4274/jus.galenos.2022.2022.0038
Vancouver Artykov M,Haberal H,Bahadir O,Gudeloglu A,AKDOĞAN B,AKI F,Bilen C,YAZICI S Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution. Journal of Urological Surgery. 2023; 10(2): 139 - 146. 10.4274/jus.galenos.2022.2022.0038
IEEE Artykov M,Haberal H,Bahadir O,Gudeloglu A,AKDOĞAN B,AKI F,Bilen C,YAZICI S "Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution." Journal of Urological Surgery, 10, ss.139 - 146, 2023. 10.4274/jus.galenos.2022.2022.0038
ISNAD Artykov, Meylis vd. "Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution". Journal of Urological Surgery 10/2 (2023), 139-146. https://doi.org/10.4274/jus.galenos.2022.2022.0038