Korean J Urol.  2009 Jun;50(6):581-585. 10.4111/kju.2009.50.6.581.

Renal Function Outcomes in Patients Undergoing Open or Laparoscopic Radical Nephrectomy

• Yoo KH
• Lee HL
• Chang SG
• Jeon SH

• KMID: 1989790
• DOI: http://doi.org/10.4111/kju.2009.50.6.581

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.

Keyword

Laparoscopy; Glomerular filtration rate; Nephrectomy

MeSH Terms

Follow-Up Studies
Glomerular Filtration Rate
Humans
Kidney
Kidney Diseases
Laparoscopy
Liver
Nephrectomy
Operative Time
Renal Insufficiency
Urinary Calculi

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