TABLE 4.
Outcomes of renal surgical interventions on a solitary kidney by major series
Authors | Study description |
No. of Pts | Median EBL (range) |
Renal hilar clamping |
Operative duration (range) |
Overall complication rate |
Urine Leak |
Short- term dialysis |
Long-term dialysis |
---|---|---|---|---|---|---|---|---|---|
Ghavamian et al. (2002) |
NSS in surgically naïve kidney |
63 pts | N/A | 100% | N/A | Early complication – 23.8% |
3.2% | 1.6% | 3.2% |
Late complication – 27% |
|||||||||
Saranchuk et al. (2004) |
NSS in surgically naïve kidney |
54 pts | 600ml (100 – 4,000) |
81% | 4.03h (2.1 – 11) |
26% | 9% | 1.8% | 3.6% |
Fergany et al. (2006) |
NSS in surgically naïve kidney |
400 pts | N/A | 96% | N/A | 13% | 9% | 3.5% | 0.5% |
Jacobsohn et al. (2007) |
RFA (including previously operated kidney) |
16 pts | N/A | 0% | 3.25h (2.9 – 3.6) |
37% | 0% | 0% | 6% |
Lane et al. (2008) |
LPN vs OPN in surgically naïve kidney |
199 pts OPN – 169 pts LPN – 30 pts |
OPN – 300 ml (200 – 450) LPN – 200 ml (100 – 300) |
OPN – 99% LPN – 100% |
OPN – 4.4h (3.8 – 5.1) LPN – 3.4h (2.9 – 4.5) |
OPN – 24% LPN – 43% |
OPN – 4.7% LPN – 10% |
OPN – 0.6% LPN – 10% |
OPN – 0.6% LPN – 6.6% |
Present series |
NSS on previously operated kidney |
25 pts (all repeat NSS) |
2,400 ml (800 – 14,000) |
48% | 8.5h (4.8 – 11) | 52% | 20% | 12% | 12% |
NA= data not available