OBJECTIVE: To determine the incidence and related factors of perioperative mortality associated with radical nephrectomy in patients with renal tumours in a tertiary hospital.
MATERIAL AND METHODS:We conducted a cross-sectional study that reviewed the medical records of patients undergoing radical nephrectomy between January 1, 2007 and December 31, 2011 in a tertiary university hospital (Cali, Colombia). We measured sociodemographic variables and factors that may be associated with perioperative mortality. The statistical analysis was performed using STATA.
RESULTS: We analysed 57 patients who underwent radical nephrectomy, 54.4% of whom were male, whose ages ranged from 14 to 81 years. All tumours had a unilateral presentation; 96.5% of the tumours were solid renal lesions, and 3.5% were cystic lesions. The most frequent histological findings were clear cell (63.2%), papillary (8.7%) and chromophobe cell (5.2%) renal carcinoma. There were no complications in 27 (47.3%) of the patients. According to the Clavien-Dindo classification of surgical complications, 16 (28%) patients had minor (grades i and ii) complications and 9 (15.6%) had major (grades iii and iv) complications, with an overall perioperative mortality (grade v) of 8.7% (5 patients).
CONCLUSIONS: The perioperative mortality at 30 days for patients with nonmetastatic renal carcinoma who underwent radical nephrectomy at a tertiary university hospital in Cali, Colombia, was 4.1% (2 patients).
Written by:
Díaz-Hung AM, García-Perdomo HA, Carbonell-González J, Castillo-Cobaleda DF, García-Ángel AF. Are you the author?
Médico Residente de Urología, Universidad del Valle, Cali, Colombia.
Reference: Actas Urol Esp. 2013 Apr 18. pii: S0210-4806(13)00062-4.
doi: 10.1016/j.acuro.2013.02.006
PubMed Abstract
PMID: 23602503
Article in English, Spanish.
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