Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution
Objective:To determine which preoperative patient characteristics are predictive of intraoperative complications (IOC) and postoperative complications (POC) in patients undergoing nephrectomy for non-oncological diseases.Materials and Methods:Demographics, pre-operative characteristics, the surgical...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2023-06-01
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| Series: | Journal of Urological Surgery |
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http://jurolsurgery.org/archives/archive-detail/article-preview/risk-factors-for-complications-in-simple-nephrecto/60540
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| _version_ | 1797809713633558528 |
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| author | Meylis Artykov Hakan Bahadır Haberal Ömer Faruk Bahadır Ahmet Güdeloğlu Bülent Akdoğan Fazıl Tuncay Aki Cenk Yücel Bilen Sertaç Yazıcı |
| author_facet | Meylis Artykov Hakan Bahadır Haberal Ömer Faruk Bahadır Ahmet Güdeloğlu Bülent Akdoğan Fazıl Tuncay Aki Cenk Yücel Bilen Sertaç Yazıcı |
| author_sort | Meylis Artykov |
| collection | DOAJ |
| description | Objective:To determine which preoperative patient characteristics are predictive of intraoperative complications (IOC) and postoperative complications (POC) in patients undergoing nephrectomy for non-oncological diseases.Materials and Methods:Demographics, pre-operative characteristics, the surgical technique and perioperative outcomes of 295 adult patients who had underwent simple nephrectomy between 2002 and 2019 in a single reference institution were analyzed retrospectively. Univariate and multivariable statistical analyses were performed to determine the factors affecting POC (Clavien-Dindo score ≥1) and IOC. All statistical analyses were performed using the Statistical Package for the Social Sciences v. 24.0 (SPSS Inc., Chicago, IL, USA) software for Windows.Results:The mean age of the patients was 44.84±15.51 years, with a female-to-male ratio of 154/141. The statistically significant factors associated with IOC in the multivariable analysis were male gender, higher American Society of Anesthesiologists (ASA) score and urgent surgical intervention (p=0.002, p=0.001, p=0.021, respectively). In multivariable analysis, preoperative anemia, emergency surgery and open surgery were found to be statistically significant and associated with POC (p<0.001, p=0.004, and p=0.049, respectively).Conclusion:Improved surgical outcomes can be achieved through treatment adapted to individual preoperative characteristics such as ASA score, pre-operative hemoglobin level and male gender. An elective laparoscopic approach should be used whenever possible. |
| first_indexed | 2024-03-13T06:56:52Z |
| format | Article |
| id | doaj.art-5fac3e1054a54462a5a1c61aeb91e010 |
| institution | Directory Open Access Journal |
| issn | 2148-9580 |
| language | English |
| last_indexed | 2024-03-13T06:56:52Z |
| publishDate | 2023-06-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-5fac3e1054a54462a5a1c61aeb91e0102023-06-07T06:57:08ZengGalenos YayineviJournal of Urological Surgery2148-95802023-06-0110213914610.4274/jus.galenos.2022.2022.003813049054Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single InstitutionMeylis Artykov0Hakan Bahadır Haberal1Ömer Faruk Bahadır2Ahmet Güdeloğlu3Bülent Akdoğan4Fazıl Tuncay Aki5Cenk Yücel Bilen6Sertaç Yazıcı7 Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Objective:To determine which preoperative patient characteristics are predictive of intraoperative complications (IOC) and postoperative complications (POC) in patients undergoing nephrectomy for non-oncological diseases.Materials and Methods:Demographics, pre-operative characteristics, the surgical technique and perioperative outcomes of 295 adult patients who had underwent simple nephrectomy between 2002 and 2019 in a single reference institution were analyzed retrospectively. Univariate and multivariable statistical analyses were performed to determine the factors affecting POC (Clavien-Dindo score ≥1) and IOC. All statistical analyses were performed using the Statistical Package for the Social Sciences v. 24.0 (SPSS Inc., Chicago, IL, USA) software for Windows.Results:The mean age of the patients was 44.84±15.51 years, with a female-to-male ratio of 154/141. The statistically significant factors associated with IOC in the multivariable analysis were male gender, higher American Society of Anesthesiologists (ASA) score and urgent surgical intervention (p=0.002, p=0.001, p=0.021, respectively). In multivariable analysis, preoperative anemia, emergency surgery and open surgery were found to be statistically significant and associated with POC (p<0.001, p=0.004, and p=0.049, respectively).Conclusion:Improved surgical outcomes can be achieved through treatment adapted to individual preoperative characteristics such as ASA score, pre-operative hemoglobin level and male gender. An elective laparoscopic approach should be used whenever possible. http://jurolsurgery.org/archives/archive-detail/article-preview/risk-factors-for-complications-in-simple-nephrecto/60540 nephrectomylaparoscopic nephrectomyintraoperative complicationspostoperative complications |
| spellingShingle | Meylis Artykov Hakan Bahadır Haberal Ömer Faruk Bahadır Ahmet Güdeloğlu Bülent Akdoğan Fazıl Tuncay Aki Cenk Yücel Bilen Sertaç Yazıcı Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution Journal of Urological Surgery nephrectomy laparoscopic nephrectomy intraoperative complications postoperative complications |
| title | Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution |
| title_full | Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution |
| title_fullStr | Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution |
| title_full_unstemmed | Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution |
| title_short | Risk Factors for Complications in Simple Nephrectomy: 17-Year Results from Single Institution |
| title_sort | risk factors for complications in simple nephrectomy 17 year results from single institution |
| topic | nephrectomy laparoscopic nephrectomy intraoperative complications postoperative complications |
| url |
http://jurolsurgery.org/archives/archive-detail/article-preview/risk-factors-for-complications-in-simple-nephrecto/60540
|
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