Yonsei nomogram: A predictive model of new-onset chronic kidney disease after on-clamp partial nephrectomy in patients with T1 renal tumors

2018 ◽  
Vol 25 (7) ◽  
pp. 690-697 ◽  
Author(s):  
Ali Abdel Raheem ◽  
Tae Young Shin ◽  
Ki Don Chang ◽  
Glen Denmer R Santok ◽  
Mohamed Jayed Alenzi ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Predictive Model ◽  
Partial Nephrectomy ◽  
Renal Tumors ◽  
New Onset

1855 PREDICTIVE FACTORS OF NEW ONSET CHRONIC KIDNEY DISEASE AFTER RADICAL NEPHRECTOMY FOR CORTICAL RENAL TUMORS

2012 ◽  
Vol 187 (4S) ◽  
Author(s):  
Fabio Torricelli ◽  
Alexandre Danilovic ◽  
Giovanni Marchini ◽  
Alexandre Sant'Anna ◽  
Marcos Dall'Oglio ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Predictive Factors ◽  
Radical Nephrectomy ◽  
Renal Tumors ◽  
New Onset

scholarly journals Renal functional outcomes after surgery for renal cortical tumors

2015 ◽  
Vol 2 (2) ◽  
pp. 45-54 ◽  
Author(s):  
Danny Lascano ◽  
Julia B Finkelstein ◽  
G. Joel DeCastro ◽  
James M McKiernan
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Renal Disease ◽  
Partial Nephrectomy ◽  
Functional Outcomes ◽  
Surgical Techniques ◽  
Renal Tumors ◽  
Renal Masses ◽  
Nephron Sparing ◽  
Surgically Induced

Historically, radical nephrectomy represented the gold standard for the treatment of small (? 4cm) as well as larger renal masses.  Recently, for small renal masses, the risk of ensuing chronic kidney disease and end stage renal disease has largely favored nephron-sparing surgical techniques, mainly partial nephrectomy. In this review, we surveyed the literature on renal functional outcomes after partial nephrectomy for renal tumors. The largest randomized control trial comparing radical and partial nephrectomy failed to show a survival benefit for partial nephrectomy. With regards to overall survival, surgically induced chronic kidney disease (GFR < 60 ml/min/ 1.73m2) caused by nephrectomy might not be as deleterious as medically induced chronic kidney disease. In evaluating patients who underwent donor nephrectomy, transplant literature further validates that surgically induced reductions in GFR may not affect patient survival, unlike medically induced GFR declines.  Yet, because patients who present with a renal mass tend to be elderly with multiple comorbidities, many develop a mixed picture of medically, and surgically-induced renal disease after extirpative renal surgery.  In this population, we believe that nephron sparing surgery optimizes oncological control while protecting renal function. 

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