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Martín OD, Bravo H, Arias M, et al. Determinant factors for chronic kidney disease after partial nephrectomy. Oncoscience. 2018;5(1):13-20doi: 10.18632/oncoscience.393.
Martín, O. D., Bravo, H., Arias, M., Dallos, D., Quiroz, Y., Medina, L. G., Cacciamani, G. E., & Carlini, R. G. (2018). Determinant factors for chronic kidney disease after partial nephrectomy. Oncoscience, 5(1), 13-20. https://doi.org/10.18632/oncoscience.393
Martín, Oscar D, et al. "Determinant factors for chronic kidney disease after partial nephrectomy." Oncoscience vol. 5,1 (2018): 13-20. doi: https://doi.org/10.18632/oncoscience.393
Martín OD, Bravo H, Arias M, Dallos D, Quiroz Y, Medina LG, Cacciamani GE, Carlini RG. Determinant factors for chronic kidney disease after partial nephrectomy. Oncoscience. 2018 Feb 23;5(1):13-20. doi: 10.18632/oncoscience.393. eCollection 2018 Jan. PMID: 29556514; PMCID: PMC5854289.
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Oncoscience. 2018 Feb 23;5(1):13-20. doi: 10.18632/oncoscience.393. eCollection 2018 Jan.

Determinant factors for chronic kidney disease after partial nephrectomy.

Oncoscience

Oscar D Martín, Heilen Bravo, Marcos Arias, Diego Dallos, Yesica Quiroz, Luis G Medina, Giovanni E Cacciamani, Raul G Carlini

Affiliations

  1. Clínica Cooperativa de Colombia, Universidad Cooperativa de Colombia - Facultad de Medicina, Villavicencio, Colombia.
  2. Servicio de Nefrología y Trasplante Renal, Hospital Universitario de Caracas, Caracas, Venezuela.
  3. Hospital Metropolitano de Santiago (HOMS), Santiago, República Dominicana.
  4. Fundacion Universitaria Ciencias de la Salud Hospital de San Jose, Bogotá, Colombia.
  5. Department of Urology, University of Verona, Verona, Italy.

PMID: 29556514 PMCID: PMC5854289 DOI: 10.18632/oncoscience.393

Abstract

The objective of this review is to evaluate the factors that determine the development or deterioration of Chronic Kidney Disease (CKD) after partial nephrectomy (PN). When current literature is reviewed, it is found that factors that influence 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. Lastly, post-surgical factors, also impose some influence on the post-surgical renal performance. It was also found that minimally invasive surgery, in addition to its known advantages, seems to offer a greater field of action in the future that will allow more nephrons preservation in any future surgical scenario. Finally, the current trend is to perform PN on all patients, in whom surgery is technically feasible regardless of the approach used, without risking oncological outcomes, patient safety, and without being exposed to any additional complications.

Keywords: chronic kidney disease; kidney-sparing surgery; partial nephrectomy; predicting factor; prognostic factor

Conflict of interest statement

CONFLICT OF INTEREST No potential conflicts of interest were disclosed.

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