The Journal of Urology
Volume 183, Issue 1 , Pages 43-47 , January 2010

Renal Insufficiency is an Independent Risk Factor for Complications After Partial Nephrectomy

  • A.A. Hakimi

      Affiliations

    • Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
  • ,
  • S. Rajpathak

      Affiliations

    • Department of Epidemiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
  • ,
  • L. Chery

      Affiliations

    • Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
  • ,
  • E. Shapiro

      Affiliations

    • Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
  • ,
  • R. Ghavamian

      Affiliations

    • Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
    • Corresponding Author InformationCorrespondence: 3400 Bainbridge, MAP Bldg, 5th Floor, Bronx, New York 10467 (telephone: 718-920-8475)
    • Financial interest and/or other relationship with Covidien.

Received 13 May 2009

References 

  1. Patard JJ, Dorey FJ, Cindolo L, et al. Symptoms as well as tumor size provide prognostic information on patients with localized renal tumors. J Urol. 2004;172:2167
  2. McKiernan J, Simmons R, Katz J, et al. Natural history of chronic renal insufficiency after partial and radical nephrectomy. Urology. 2002;59:816
  3. Thompson RH, Boorjian SA, Lohse CM, et al. Radical nephrectomy for pT1a renal masses may be associated with decreased overall survival compared with partial nephrectomy. J Urol. 2008;179:468
  4. Porpiglia F, Volpe A, Billia M, et al. Laparoscopic versus open partial nephrectomy: analysis of the current literature. Eur Urol. 2008;53:732
  5. Huang WC, Levey AS, Serio AM, et al. Chronic kidney disease after nephrectomy in patients with renal cortical tumours: a retrospective cohort study. Lancet Oncol. 2006;7:735
  6. Go AS, Chertow GM, Fan D, et al. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med. 2004;351:1296
  7. Uzzo RG, Novick AC. Nephron sparing surgery for renal tumors: indications, techniques and outcomes. J Urol. 2001;166:6
  8. Levey AS, Coresh J, Greene T, et al. Using standardized serum creatinine values in the modification of diet in renal disease study equation for estimating glomerular filtration rate. Ann Intern Med. 2006;145:247
  9. Stevens LA, Coresh J, Greene T, et al. Assessing kidney function–measured and estimated glomerular filtration rate. N Engl J Med. 2006;354:2473
  10. 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
  11. Lau WK, Blute ML, Weaver AL, et al. Matched comparison of radical nephrectomy vs nephron sparing surgery in patients with unilateral renal cell carcinoma and a normal contralateral kidney. Mayo Clin Proc. 2000;75:1236
  12. Huang WC, Elkin EB, Levey AS, et al. Partial nephrectomy versus radical nephrectomy in patients with small renal tumors–is there a difference in mortality and cardiovascular outcomes?. J Urol. 2009;181:55
  13. Lane BR, Babineau DC, Poggio ED, et al. Factors predicting renal functional outcome after partial nephrectomy. J Urol. 2008;180:2363
  14. Song C, Bang JK, Park HK, et al. Factors influencing renal function reduction after partial nephrectomy. J Urol. 2009;181:48
  15. Donat SM. Standards for surgical complication reporting in urologic oncology: time for a change. Urology. 2007;69:221
  16. Turna B, Frota R, Kamoi K, et al. Risk factor analysis of postoperative complications in laparoscopic partial nephrectomy. J Urol. 2008;179:1289

 Study received approval from the Committee of Clinical Investigation at the Albert Einstein College of Medicine.

 For another article on a related topic see page 333.

PII: S0022-5347(09)02367-2

doi: 10.1016/j.juro.2009.08.146

The Journal of Urology
Volume 183, Issue 1 , Pages 43-47 , January 2010