C-Index is Associated With Functional Outcomes After Laparoscopic Partial Nephrectomy

作者: Mary K Samplaski , Adrian Hernandez , Inderbir S Gill , Matthew N Simmons , None

DOI: 10.1016/J.JURO.2010.08.031

关键词: CreatinineUnivariate analysisSurgeryUrologyUrinary systemKidneyNadir (topography)Renal functionNephrologyInternal medicineMedicineNephrectomy

摘要: Purpose: The C-index is a morphometric descriptor of renal masses that incorporates tumor size and site. We examined associations the with kidney function after laparoscopic partial nephrectomy.Materials Methods: retrospectively reviewed records 131 patients who underwent nephrectomy for single tumor. calculated from preoperative contrast enhanced computerized tomography images. Estimated glomerular filtration rate was using modification diet in disease 2 equation. Nadir estimated peak serum creatinine within 7 days surgery.Results: median 2.7 (range 0.7 to 9.6). nadir 78 23 148) 54 ml/minute/1.73 m2 15 127, p <0.001). mean ± SD total decrease 28% 16%. On univariate analysis we noted positive correlation between log C...

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