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Degree and Predictors of Functional Loss of the Operated Kidney following Nephron-Sparing Surgery : Assessment by Quantitative SPECT of 99m Tc-Dimercaptosuccinic Acid Scintigraphy
Joint Authors
Halachmi, Sarel
Nativ, Ofer
Levi, Amos
Moskovitz, Boaz
Farfara, Roy
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-08-10
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
To determine the degree and predictors of renal function loss of the operated kidney following nephron-sparing surgery (NSS).
Material and methods.
The study group included 113 patients with renal mass who underwent NSS at our institution.
QDMSA before and 3–6 months after surgery was used for evaluation differences in renal function of each kidney.
Mean change of percent uptake by the kidney was correlated with various clinical and pathological variables.
Results.
The overall average decrease of renal function of the operated kidney as measured by QDMSA was 10.5% ± 2.6 SER.
Among the studied variables, the most important predictors of postoperative ipsilateral residual kidney function were estimated blood loss (EBL), P=0.0003, duration of warm ischemia, P=0.008, patient’s age at surgery, P=0.024, method used for tumor bed closure, P=0.06, and location of the lesion, P=0.08.
Conclusions.
Carful hemostasis, minimal duration of arterial clamping, and use of tissue adhesives to seal tumor bed are associated with maximal preservation of postoperative residual renal function after NSS.
These variables should be considered by the operative team when planning the surgical procedure .
American Psychological Association (APA)
Nativ, Ofer& Levi, Amos& Farfara, Roy& Halachmi, Sarel& Moskovitz, Boaz. 2011. Degree and Predictors of Functional Loss of the Operated Kidney following Nephron-Sparing Surgery : Assessment by Quantitative SPECT of 99m Tc-Dimercaptosuccinic Acid Scintigraphy. Advances in Urology،Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-511690
Modern Language Association (MLA)
Nativ, Ofer…[et al.]. Degree and Predictors of Functional Loss of the Operated Kidney following Nephron-Sparing Surgery : Assessment by Quantitative SPECT of 99m Tc-Dimercaptosuccinic Acid Scintigraphy. Advances in Urology No. 2011 (2011), pp.1-5.
https://search.emarefa.net/detail/BIM-511690
American Medical Association (AMA)
Nativ, Ofer& Levi, Amos& Farfara, Roy& Halachmi, Sarel& Moskovitz, Boaz. Degree and Predictors of Functional Loss of the Operated Kidney following Nephron-Sparing Surgery : Assessment by Quantitative SPECT of 99m Tc-Dimercaptosuccinic Acid Scintigraphy. Advances in Urology. 2011. Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-511690
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-511690