Acute kidney injury and its impact on renal prognosis after robot-assisted laparoscopic radical prostatectomy.

Abstract

BACKGROUND:

This study assessed the incidence and impact of acute kidney injury (AKI) on renal prognosis in patients who underwent robot-assisted laparoscopic radical prostatectomy (RARP).

METHODS:

Medical records of 305 patients treated with RARP were retrospectively reviewed. The patients with postoperative AKIs were dichotomized into early AKI (immediately after surgery) and late AKI (1-7 days after surgery). The impact of AKIs and their risk factors were statistically assessed.

RESULTS:

Early and late AKI were observed in 143 (46.9%) and 12 (3.9%) patients, respectively. Hypertension and console time were independent risk factors for early AKI. Among the patients with preoperative eGFR ≥60 mL/min, the eGFR decline 12 months after surgery was significantly greater in patients with early AKI than that without early AKI (-6.8 vs -3.2 mL/min, P = .02).

CONCLUSIONS:

Approximately half of patients developed early AKI after RARP. The patients with early AKI had reduced renal function 12 months after surgery.

• Authors: Hiromi Sato, Shintaro Narita, Mitsuru Saito, Ryohei Yamamoto, Atsushi Koizumi, Taketoshi Nara, Sohei Kanda, Kazuyuki Numakura, Takamitsu Inoue, Shigeru Satoh, Kyoko Abe, Tomonori Habuchi
• Journal: The international journal of medical robotics + computer assisted surgery : MRCAS (Int J Med Robot) Vol. 16 Issue 5 Pg. 1-7 (Oct 2020) ISSN: 1478-596X [Electronic] England
• PMID: 32362068 (Publication Type: Journal Article)
• Copyright: © 2020 John Wiley & Sons Ltd.

Topics

• Acute Kidney Injury (etiology)
• Humans
• Kidney (physiology)
• Laparoscopy
• Male
• Prognosis
• Prostatectomy (adverse effects)
• Prostatic Neoplasms (surgery)
• Retrospective Studies
• Robotic Surgical Procedures (adverse effects)
• Robotics