Do Renal Tumor Characteristics Affect the Number of Hemostatic Agents Used During Partial Nephrectomy?
Journal Title: JOURNAL OF UROLOGICAL SURGERY - Year 2019, Vol 6, Issue 3
Abstract
Objective: The aim of this study was to investigate the use and types of hemostatic agents (HAs) used during partial nephrectomy (PN) and the relationship of the number of these agents used during surgery with tumor size, RENAL nephrometry score (NS), peroperative ischemia time, and postoperative pathology results. Materials and Methods: Records of patients, who had undergone PN in our clinic due to renal mass between January 2013 and February 2019, were retrospectively reviewed. Our study included 71 patients who were administered one or more HAs during PN. Demographic characteristics, operative data, and pathological results of patients, who were administered one or more HAs during PN, were recorded. Results: Cellulose-based agents and polytetrafluoroethylene pledgets were the most frequently used HAs (78.8% and 38%, respectively). The patients were divided into two groups according to tumor size (0-4 cm and larger than 4 cm tumors), RENAL NS (low and intermediate-high score), ischemia time (0-20 min and longer than 20 min), and tumor pathology result (benign and malignant tumor), and the number of HAs used in each group was compared. When the groups were compared separately in terms of number of HAs used, no statistically significant difference was found between the groups (p=0.323, p=0.183, p=0.618, and p=0.131, respectively). Conclusion: HAs are frequently used in our clinic to achieve hemostasis. There was no statistically significant difference in the number of HAs used between the groups.
Authors and Affiliations
Erdem Kısa, Mehmet Zeynel Keskin, Hilal Şahin, Cem Yücel, Mehmet Yiğit Yalçın, Özgür Çakmak, Yusuf Özlem İlbey
Keywords
Related Articles
- EP ID EP619503
- DOI 10.4274/jus.galenos.2019.2712
- Views 77
- Downloads 0
Re: The Impact of Donor Body Mass Index on Outcomes After Deceased Kidney Transplantation-a National Population-Cohort Study
.
Duodenorenal Fistula as a Complication of Radiofrequency Ablation of Hepatic Metastasis of Renal Cell Carcinoma
Duodenorenal fistula is a rare condition. The right kidney and the second part of the duodenum are in close anatomic proximity. Although unusual, fistulae can occur between these two anatomic structures. We report a pati...
Do Renal Tumor Characteristics Affect the Number of Hemostatic Agents Used During Partial Nephrectomy?
Objective: The aim of this study was to investigate the use and types of hemostatic agents (HAs) used during partial nephrectomy (PN) and the relationship of the number of these agents used during surgery with tumor size...
Bilateral Primary Renal Lymphoma Presenting with Acute Renal Failure
Non-Hodgkin’s lymphoma is a multisystem disease presenting with painless lymph node involvement in patients between 40 and 70 years of age. Kidney failure can be seen in about 10% of lymphoma patients due to different re...
Re: Local Tumor Bed Recurrence Following Partial Nephrectomy in Patients with Small Renal Masses
.