Post Operative Complications Of Open Partial Nephrectomy With Respect To Tumour Location

J Ayub Med Coll Abbottabad. 2023 Jul-Sep;35(3):466-470. doi: 10.55519/JAMC-03-12286.

Abstract

Background: Partial Nephrectomy has been the go-to approach for the treatment of small sized renal tumours for years now. Like any other surgical procedure, it is associated with post-operative complications. The study was aimed at determining the post-operative complications of open partial nephrectomy concerning tumour location.

Methods: This descriptive cross-sectional study was done on 45 patients as per inclusion criteria. The patients were managed as per department protocols and were observed for the development of immediate post-operative complications during hospital stays. RESULTS: Post-operative complications were observed in 4 (8.9%) patients and included haemorrhage (n=1; 2.2%) and urine leak (n=3; 6.7%). There was a statistically significant association between post-operative complications of partial nephrectomy and central tumour location (p=0.008, OR=14.52 and LR=5.70) and increased age (p=0.04, LR=5.40 and OR=8.90).

Discussion: Increased age and tumour location may play a significant role in determining the likelihood of post-operative complications in patients who have undergone surgery for renal tumours.

Keywords: Renal tumours; Nephron Sparing Surgery; Partial Nephrectomy; OPN, Radical Nephrectomy; Urine Leak; Haemorrhage.

MeSH terms

  • Cross-Sectional Studies
  • Humans
  • Kidney Neoplasms* / pathology
  • Kidney Neoplasms* / surgery
  • Length of Stay
  • Nephrectomy / adverse effects
  • Postoperative Complications / etiology
  • Retrospective Studies
  • Treatment Outcome