Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy
BackgroundPneumoperitoneum with an intra-abdominal pressure (IAP) of 14 mmHg is known to decrease renal function. Robotic-assisted radical prostatectomy (RARP) requires an IAP of more than 15 mmHg for operation. Therefore, we retrospectively investigated whether patients who underwent RARP experienc...
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doaj-9f264c66009a4afdaf185e6900ee8d212020-11-25T03:59:35ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632011-03-0160319219710.4097/kjae.2011.60.3.1927090Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomyJae Hyun Ahn0Choon Hak Lim1Hye In Chung2Seong Uk Choi3Seung Zoo Youn4Hae Ja Lim5Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul, Korea.BackgroundPneumoperitoneum with an intra-abdominal pressure (IAP) of 14 mmHg is known to decrease renal function. Robotic-assisted radical prostatectomy (RARP) requires an IAP of more than 15 mmHg for operation. Therefore, we retrospectively investigated whether patients who underwent RARP experienced renal insufficiency during the postoperative period (at postoperative days 7 and 30).MethodsOne hundred patients who underwent RARP were enrolled in this study. Preoperative serum blood urea nitrogen (BUN) and serum creatinine (Cr) levels were measured. Creatinine clearance (CrCl) was calculated using the Cockcroft and Gault formula. CrCl was calculated at 1 day before surgery (baseline), 2 hr postoperatively, and at 1, 3, 7, and 30 days postoperatively (POD 1, POD 3, POP 7, and POD 30). Patients were assigned to abnormal CrCl (n = 52) or normal CrCl groups (n = 48) on the basis of these measurements.ResultsSignificant inter-group differences in BUN, Cr, and CrCl were observed at all postoperative time points. BUN and Cr decreased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups, whereas CrCl increased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups. However, BUN, Cr, and CrCl were similar at POD 30 and preoperatively in the two groups.ConclusionsRAPR, which requires an IAP of 15-20 mmHg for more than 4 hr, does not induce renal dysfunction during the postoperative period, and even in those patients with an abnormal CrCl.http://ekja.org/upload/pdf/kjae-60-192.pdfpneumoperitoneumrenal function |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jae Hyun Ahn Choon Hak Lim Hye In Chung Seong Uk Choi Seung Zoo Youn Hae Ja Lim |
spellingShingle |
Jae Hyun Ahn Choon Hak Lim Hye In Chung Seong Uk Choi Seung Zoo Youn Hae Ja Lim Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy Korean Journal of Anesthesiology pneumoperitoneum renal function |
author_facet |
Jae Hyun Ahn Choon Hak Lim Hye In Chung Seong Uk Choi Seung Zoo Youn Hae Ja Lim |
author_sort |
Jae Hyun Ahn |
title |
Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy |
title_short |
Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy |
title_full |
Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy |
title_fullStr |
Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy |
title_full_unstemmed |
Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy |
title_sort |
postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2011-03-01 |
description |
BackgroundPneumoperitoneum with an intra-abdominal pressure (IAP) of 14 mmHg is known to decrease renal function. Robotic-assisted radical prostatectomy (RARP) requires an IAP of more than 15 mmHg for operation. Therefore, we retrospectively investigated whether patients who underwent RARP experienced renal insufficiency during the postoperative period (at postoperative days 7 and 30).MethodsOne hundred patients who underwent RARP were enrolled in this study. Preoperative serum blood urea nitrogen (BUN) and serum creatinine (Cr) levels were measured. Creatinine clearance (CrCl) was calculated using the Cockcroft and Gault formula. CrCl was calculated at 1 day before surgery (baseline), 2 hr postoperatively, and at 1, 3, 7, and 30 days postoperatively (POD 1, POD 3, POP 7, and POD 30). Patients were assigned to abnormal CrCl (n = 52) or normal CrCl groups (n = 48) on the basis of these measurements.ResultsSignificant inter-group differences in BUN, Cr, and CrCl were observed at all postoperative time points. BUN and Cr decreased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups, whereas CrCl increased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups. However, BUN, Cr, and CrCl were similar at POD 30 and preoperatively in the two groups.ConclusionsRAPR, which requires an IAP of 15-20 mmHg for more than 4 hr, does not induce renal dysfunction during the postoperative period, and even in those patients with an abnormal CrCl. |
topic |
pneumoperitoneum renal function |
url |
http://ekja.org/upload/pdf/kjae-60-192.pdf |
work_keys_str_mv |
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