Renal Function Outcomes in Patients Undergoing Open or Laparoscopic Radical Nephrectomy
유구한, 이형래, 장성구, 전승현,
소속 상세정보
유구한 ( Yoo Koo-Han )
경희대학교 의과대학 비뇨기과학교실
이형래 ( Lee Hyung-Lae )
경희대학교 의과대학 비뇨기과학교실
장성구 ( Chang Sung-Goo )
경희대학교 의과대학 비뇨기과학교실
전승현 ( Jeon Seung-Hyun )
경희대학교 의과대학 비뇨기과학교실
KMID : 0358320090500060581
Abstract
Purpose: We compared renal function outcomes in patients undergoing open or laparoscopic radical nephrectomy.
Materials and Methods: Seventy-one patients undergoing open or laparoscopic radical nephrectomy for kidney disease with a normal contralateral kidney were identified between January 2004 and December 2007. Renal function was calculated by using the Cockcroft-Gault formula. Serial renal functions were checked from the day before surgery to 1 year after surgery. Exclusion criteria were preexisting renal insufficiency, urinary stone disease, and pancreatic and liver disorders.
Results: Forty-one and 30 patients were treated with open radical nephrectomy or laparoscopic radical nephrectomy, respectively. The operative time and urine output of patients who underwent open and laparoscopic radical nephrectomy were 211.7±5.8 and 330.8±15.6 and 196.4±19.6 and 130.7±12.1, respectively (p=0.001, p=0.013). The glomerular filtration rates of patients who underwent open or laparoscopic radical nephrectomy were insignificant from baseline to postoperative day 360 (p＞0.05).
Conclusions: No significant differences in renal function were detected in the groups of patients who underwent open or laparoscopic radical nephrectomy from baseline to long-term follow-up.
키워드
Laparoscopy;Glomerular filtration rate;Nephrectomy
원문 및 링크아웃 정보
등재저널 정보