García-Salcido FJ, Santana-Rios Z, Urdiales-Ortiz A, Fulda-Graue S, Pérez-Becerra R, Fernández-Noyola G, Martínez JA, Ahumada-Tamayo S, Camacho-Castro A, Muñoz-Ibarra EL, Osornio-Sánchez V, Mayorga-Gómez E, Garza-Saenz G, Martínez-Arroyo C, Cantellano-Orozco M, Morales-Montor G, Pacheco-Gahbler C

Language: Spanish
References: 14
Page: 3-7
PDF size: 431.01 Kb.

ABSTRACT

Introduction: For many years radical nephrectomy has been the treatment of choice in kidney tumor management. Currently nephron-sparing surgery in T1 tumors is the indicated therapy. Patients with kidney cancer are at risk for developing chronic kidney failure after surgical treatment when presenting with risk factors such as diabetes, high blood pressure, obesity, and smoking.
Objective: To determine the presence of chronic kidney failure and associated factors involved in its development in patients having undergone partial or radical nephrectomy due to kidney cancer.
Material and methods: The variables of sex, body mass index, diabetes mellitus, high blood pressure, smoking, and preoperative and postoperative kidney function were analyzed in fifty-two patients having undergone partial or radical nephrectomy over a five-year period. Patients with preoperative kidney damage were excluded.
Results: Forty-seven patients fit the inclusion criteria, fortythree underwent radical nephrectomy, four underwent partial nephrectomy, eleven presented with diabetes mellitus, twenty-five presented with high blood pressure, and nineteen patients were smokers. Of the radical nephrectomy patients, eleven (23%) developed chronic kidney damage. No patient having undergone partial nephrectomy developed kidney damage.
Conclusions: Patients undergoing partial or radical nephrectomy are at greater risk for developing chronic kidney damage, regardless of other risk factors.

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