Assessment of the relationship between renal volume and renal function after minimally-invasive partial nephrectomy: the role of computed tomography and nuclear renal scan

Minerva urologica e nefrologica = The Italian journal of urology and nephrology
Riccardo BertoloFrancesco Porpiglia

Abstract

To evaluate the correlation between the loss of renal function as assessed by Tc99MAG-3 renal scan and the loss of renal volume as calculated by volumetric assessment on CT-scan in patients who underwent minimally-invasive partial nephrectomy (PN). PN prospectively-maintained database was retrospectively queried for patients who underwent minimally-invasive PN (2012-2017) for renal mass ≤cT2 and had complete data on renal scan and contrast-enhanced CT-scan (both performed in our Institution) both at preoperative assessment and at the third postoperative month follow-up. Tc99MAG-3 renal scan was performed to get renal functional data; renal volume was calculated by dedicated software from CT-scan with a semiautomated method. Statistical analysis aimed to identify relationships between loss of renal volume and loss of renal function and other patients' and surgical variables, particularly regarding lesion complexity (assessed by PADUA Score). Fifty-seven patients were analyzed. Both at univariate and multivariate analysis, the percentage of loss of renal function was significantly correlated to the loss of renal volume (P<0.001). Warm ischemia significantly correlated with the loss of renal volume (P=0.003). After stratification ...Continue Reading

References

Jul 15, 2009·European Urology·Holger MochPeter J Wild
Jul 17, 2010·European Urology·Börje LjungbergUNKNOWN European Association of Urology Guideline Group
Jun 18, 2011·The Journal of Urology·Matthew N SimmonsSteven C Campbell
Mar 20, 2012·The Journal of Urology·Matthew N SimmonsSteven C Campbell
Apr 3, 2015·International Urology and Nephrology·Jorge DiasAntónio Castro-Henriques

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Citations

Nov 14, 2018·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Juan GaristoJihad H Kaouk
Jun 25, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Riccardo SchiavinaEugenio Brunocilla
Aug 29, 2019·World Journal of Urology·Enrico CheccucciFrancesco Porpiglia
Sep 27, 2018·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·M Carmen MirFrancesco Porpiglia
Sep 19, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Alessandro VecciaRiccardo Autorino
Sep 27, 2018·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Alexander SterzikSabine D Brookman-May
Aug 5, 2020·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Carlo IntroiniAndrea Benelli

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