IMAGE: (A) renal artery and vein clamping. (B) selective closure of the collecting system and renal vessels. (C) renorrhaphy, withdrawal of laparoscopic bulldogs with total time of warm ischemia of 30… view more
Credit: Giovanni Cacciamani
When current literature is reviewed, it is found that factors that in uence renal function after partial nephrectomy, are multifactorial.
Those are divided into pre-surgical factors, such as hypertension, diabetes mellitus, urolithiasis, obesity, metabolic syndrome among others; intra-surgical factors, like the surgical technique used, the remaining healthy tissue, the experience of the surgeon, the time and type of ischemia among others.
“Sparing most of the nephrons without compromising the oncological outcome has played an important role in the kidney malignancies management.” Said Dr. Giovanni Cacciamani from the Department of Urology at the University of Verona in Verona, Italy.
On the other hand, urological diseases, which can also affect patients baseline renal function, are represented by kidney stones, urinary tract infection, vesicoureteral re ux, and neurogenic bladder.
The surgical factors that tend to affect outcomes the most are time, type of ischemia, the surgical technique used, the complexity of the case, and the amount of parenchyma preserved.
However, a period of 20-30 minutes has
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