L'ischémie a un impact limité sur la fonction rénale après néphrectomie partielle sur rein unique chez les patients sans insuffisance rénale préopératoire

R. Bahi; G. Pignot; Y. Hammoudi; K. Bensalah; E. Oger; P. Laguna; K. Barwari; T. Bessède; J. Rigaud; M. Roupret; J. C. Bernhard; J. A. Long; A. Zisman; J. Berger; P. Paparel; E. Lechevallier; R. Bertini; L. Salomon; A. Bex; R. Farfara; B. Ljungberg; A. R. Rodriguez; J. J. Patard

doi:10.1016/j.purol.2014.09.039

L'ischémie a un impact limité sur la fonction rénale après néphrectomie partielle sur rein unique chez les patients sans insuffisance rénale préopératoire

Translated title of the contribution: Ischemia is not an independent predictive factor of chronic renal failure after partial nephrectomy in a solitary kidney in patients without pre-operative renal insufficiency

R. Bahi, G. Pignot, Y. Hammoudi, K. Bensalah, E. Oger, P. Laguna, K. Barwari, T. Bessède, J. Rigaud, M. Roupret, J. C. Bernhard, J. A. Long, A. Zisman, J. Berger, P. Paparel, E. Lechevallier, R. Bertini, L. Salomon, A. Bex, R. FarfaraB. Ljungberg, A. R. Rodriguez, J. J. Patard

IRCCS Ospedale San Raffaele

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: To assess the influence of vascular clamping and ischemia time on long-term post-operative renal function following partial nephrectomy (PN) for cancer in a solitary kidney. Patients and methods: This is a retrospective study including 259patients managed by PN between 1979 and 2010 in 13centers. Clamping use, technique choice (pedicular or parenchymal clamping), ischemia time, and peri-operative data were collected. Pre-operative and last follow-up glomerular filtration rates were compared. A multivariate analysis using a Cox model was performed to assess the impact of ischemia on post-operative chronic renal failure risk. Results: Mean tumor size was 4.0. ±. 2.3. cm and mean pre-operative glomerular filtration rate was 60.8. ±. 18.9. mL/min. One hundred and six patients were managed with warm ischemia (40.9%) and 53patients with cold ischemia (20.5%). Thirty patients (11.6%) have had a chronic kidney disease. In multivariate analysis, neither vascular clamping (P= 0.44) nor warm ischemia time (P= 0.1) were associated with a pejorative evolution of renal function. Pre-operative glomerular filtration rate (P

Translated title of the contribution	Ischemia is not an independent predictive factor of chronic renal failure after partial nephrectomy in a solitary kidney in patients without pre-operative renal insufficiency
Original language	French
Pages (from-to)	27-33
Number of pages	7
Journal	Progres en Urologie
Volume	25
Issue number	1
DOIs	https://doi.org/10.1016/j.purol.2014.09.039
Publication status	Published - Jan 1 2015

Keywords

Nephron-sparing surgery
Partial nephrectomy
Renal function
Solitary kidney

ASJC Scopus subject areas

Urology
Medicine(all)

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Bahi, R., Pignot, G., Hammoudi, Y., Bensalah, K., Oger, E., Laguna, P., Barwari, K., Bessède, T., Rigaud, J., Roupret, M., Bernhard, J. C., Long, J. A., Zisman, A., Berger, J., Paparel, P., Lechevallier, E., Bertini, R., Salomon, L., Bex, A., ... Patard, J. J. (2015). L'ischémie a un impact limité sur la fonction rénale après néphrectomie partielle sur rein unique chez les patients sans insuffisance rénale préopératoire. Progres en Urologie, 25(1), 27-33. https://doi.org/10.1016/j.purol.2014.09.039

L'ischémie a un impact limité sur la fonction rénale après néphrectomie partielle sur rein unique chez les patients sans insuffisance rénale préopératoire. / Bahi, R.; Pignot, G.; Hammoudi, Y.; Bensalah, K.; Oger, E.; Laguna, P.; Barwari, K.; Bessède, T.; Rigaud, J.; Roupret, M.; Bernhard, J. C.; Long, J. A.; Zisman, A.; Berger, J.; Paparel, P.; Lechevallier, E.; Bertini, R.; Salomon, L.; Bex, A.; Farfara, R.; Ljungberg, B.; Rodriguez, A. R.; Patard, J. J.

In: Progres en Urologie, Vol. 25, No. 1, 01.01.2015, p. 27-33.

Research output: Contribution to journal › Article › peer-review

Bahi, R, Pignot, G, Hammoudi, Y, Bensalah, K, Oger, E, Laguna, P, Barwari, K, Bessède, T, Rigaud, J, Roupret, M, Bernhard, JC, Long, JA, Zisman, A, Berger, J, Paparel, P, Lechevallier, E, Bertini, R, Salomon, L, Bex, A, Farfara, R, Ljungberg, B, Rodriguez, AR & Patard, JJ 2015, 'L'ischémie a un impact limité sur la fonction rénale après néphrectomie partielle sur rein unique chez les patients sans insuffisance rénale préopératoire', Progres en Urologie, vol. 25, no. 1, pp. 27-33. https://doi.org/10.1016/j.purol.2014.09.039

Bahi, R. ; Pignot, G. ; Hammoudi, Y. ; Bensalah, K. ; Oger, E. ; Laguna, P. ; Barwari, K. ; Bessède, T. ; Rigaud, J. ; Roupret, M. ; Bernhard, J. C. ; Long, J. A. ; Zisman, A. ; Berger, J. ; Paparel, P. ; Lechevallier, E. ; Bertini, R. ; Salomon, L. ; Bex, A. ; Farfara, R. ; Ljungberg, B. ; Rodriguez, A. R. ; Patard, J. J. / L'ischémie a un impact limité sur la fonction rénale après néphrectomie partielle sur rein unique chez les patients sans insuffisance rénale préopératoire. In: Progres en Urologie. 2015 ; Vol. 25, No. 1. pp. 27-33.

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title = "L'isch{\'e}mie a un impact limit{\'e} sur la fonction r{\'e}nale apr{\`e}s n{\'e}phrectomie partielle sur rein unique chez les patients sans insuffisance r{\'e}nale pr{\'e}op{\'e}ratoire",

abstract = "Objective: To assess the influence of vascular clamping and ischemia time on long-term post-operative renal function following partial nephrectomy (PN) for cancer in a solitary kidney. Patients and methods: This is a retrospective study including 259patients managed by PN between 1979 and 2010 in 13centers. Clamping use, technique choice (pedicular or parenchymal clamping), ischemia time, and peri-operative data were collected. Pre-operative and last follow-up glomerular filtration rates were compared. A multivariate analysis using a Cox model was performed to assess the impact of ischemia on post-operative chronic renal failure risk. Results: Mean tumor size was 4.0. ±. 2.3. cm and mean pre-operative glomerular filtration rate was 60.8. ±. 18.9. mL/min. One hundred and six patients were managed with warm ischemia (40.9%) and 53patients with cold ischemia (20.5%). Thirty patients (11.6%) have had a chronic kidney disease. In multivariate analysis, neither vascular clamping (P= 0.44) nor warm ischemia time (P= 0.1) were associated with a pejorative evolution of renal function. Pre-operative glomerular filtration rate (P",

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T1 - L'ischémie a un impact limité sur la fonction rénale après néphrectomie partielle sur rein unique chez les patients sans insuffisance rénale préopératoire

AU - Bahi, R.

AU - Pignot, G.

AU - Hammoudi, Y.

AU - Bensalah, K.

AU - Oger, E.

AU - Laguna, P.

AU - Barwari, K.

AU - Bessède, T.

AU - Rigaud, J.

AU - Roupret, M.

AU - Bernhard, J. C.

AU - Long, J. A.

AU - Zisman, A.

AU - Berger, J.

AU - Paparel, P.

AU - Lechevallier, E.

AU - Bertini, R.

AU - Salomon, L.

AU - Bex, A.

AU - Farfara, R.

AU - Ljungberg, B.

AU - Rodriguez, A. R.

AU - Patard, J. J.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Objective: To assess the influence of vascular clamping and ischemia time on long-term post-operative renal function following partial nephrectomy (PN) for cancer in a solitary kidney. Patients and methods: This is a retrospective study including 259patients managed by PN between 1979 and 2010 in 13centers. Clamping use, technique choice (pedicular or parenchymal clamping), ischemia time, and peri-operative data were collected. Pre-operative and last follow-up glomerular filtration rates were compared. A multivariate analysis using a Cox model was performed to assess the impact of ischemia on post-operative chronic renal failure risk. Results: Mean tumor size was 4.0. ±. 2.3. cm and mean pre-operative glomerular filtration rate was 60.8. ±. 18.9. mL/min. One hundred and six patients were managed with warm ischemia (40.9%) and 53patients with cold ischemia (20.5%). Thirty patients (11.6%) have had a chronic kidney disease. In multivariate analysis, neither vascular clamping (P= 0.44) nor warm ischemia time (P= 0.1) were associated with a pejorative evolution of renal function. Pre-operative glomerular filtration rate (P

AB - Objective: To assess the influence of vascular clamping and ischemia time on long-term post-operative renal function following partial nephrectomy (PN) for cancer in a solitary kidney. Patients and methods: This is a retrospective study including 259patients managed by PN between 1979 and 2010 in 13centers. Clamping use, technique choice (pedicular or parenchymal clamping), ischemia time, and peri-operative data were collected. Pre-operative and last follow-up glomerular filtration rates were compared. A multivariate analysis using a Cox model was performed to assess the impact of ischemia on post-operative chronic renal failure risk. Results: Mean tumor size was 4.0. ±. 2.3. cm and mean pre-operative glomerular filtration rate was 60.8. ±. 18.9. mL/min. One hundred and six patients were managed with warm ischemia (40.9%) and 53patients with cold ischemia (20.5%). Thirty patients (11.6%) have had a chronic kidney disease. In multivariate analysis, neither vascular clamping (P= 0.44) nor warm ischemia time (P= 0.1) were associated with a pejorative evolution of renal function. Pre-operative glomerular filtration rate (P

KW - Nephron-sparing surgery

KW - Partial nephrectomy

KW - Renal function

KW - Solitary kidney

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