Effects of perirenal fat thickness on postoperative renal dysfunction in patients who underwent robot-assisted partial nephrectomy for renal tumours

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-07-05 DOI:10.1002/rcs.2662

Ryoma Nishikawa, Shuichi Morizane, Atsushi Yamamoto, Hiroshi Yamane, Ryutaro Shimizu, Yusuke Kimura, Noriya Yamaguchi, Katsuya Hikita, Masashi Honda, Atsushi Takenaka

{"title":"Effects of perirenal fat thickness on postoperative renal dysfunction in patients who underwent robot-assisted partial nephrectomy for renal tumours","authors":"Ryoma Nishikawa, Shuichi Morizane, Atsushi Yamamoto, Hiroshi Yamane, Ryutaro Shimizu, Yusuke Kimura, Noriya Yamaguchi, Katsuya Hikita, Masashi Honda, Atsushi Takenaka","doi":"10.1002/rcs.2662","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Despite partial nephrectomy (PN) renal function preservation benefits, postoperative renal dysfunction may occur. Perirenal fat thickness (PFT) is associated with renal dysfunction such as diabetes; however, its role in renal tumour surgery is unclear. This study investigates the role of PFT in renal function after robot-assisted partial nephrectomy (RAPN).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Pre-operative factors for postoperative renal dysfunction were analysed in 156 patients undergoing RAPN with ≥1-year follow-up. PFT measured using computed tomography categorised patients with PFT >21.0 mm (median) as high-PFT.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Tumour size, total R.E.N.A.L. nephrometry score and its N component, renal calyx opening, achievement of trifecta, and PFT were risk factors for renal dysfunction 1 year postoperatively. Age ≥75 years (<i>p</i> = 0.024), total RNS ≥7 (<i>p</i> = 0.036), and PFT >21.0 mm (<i>p</i> = 0.002) significantly correlated with postoperative renal dysfunction.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>CT-measured PFT is a valuable predictor of postoperative renal dysfunction.</p>\n </section>\n </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"20 4","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical Robotics and Computer Assisted Surgery","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/rcs.2662","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Despite partial nephrectomy (PN) renal function preservation benefits, postoperative renal dysfunction may occur. Perirenal fat thickness (PFT) is associated with renal dysfunction such as diabetes; however, its role in renal tumour surgery is unclear. This study investigates the role of PFT in renal function after robot-assisted partial nephrectomy (RAPN).

Methods

Pre-operative factors for postoperative renal dysfunction were analysed in 156 patients undergoing RAPN with ≥1-year follow-up. PFT measured using computed tomography categorised patients with PFT >21.0 mm (median) as high-PFT.

Results

Tumour size, total R.E.N.A.L. nephrometry score and its N component, renal calyx opening, achievement of trifecta, and PFT were risk factors for renal dysfunction 1 year postoperatively. Age ≥75 years (p = 0.024), total RNS ≥7 (p = 0.036), and PFT >21.0 mm (p = 0.002) significantly correlated with postoperative renal dysfunction.

Conclusions

CT-measured PFT is a valuable predictor of postoperative renal dysfunction.

查看原文本刊更多论文

肾周脂肪厚度对肾肿瘤机器人辅助肾部分切除术患者术后肾功能障碍的影响

背景：尽管肾部分切除术（PN）具有保留肾功能的优点，但术后仍可能出现肾功能障碍。肾周脂肪厚度（PFT）与糖尿病等肾功能障碍有关，但其在肾肿瘤手术中的作用尚不清楚。本研究探讨了PFT在机器人辅助肾部分切除术（RAPN）后肾功能中的作用：方法：对 156 名接受 RAPN 手术且随访时间≥1 年的患者进行了术前肾功能障碍因素分析。使用计算机断层扫描测量 PFT，将 PFT >21.0mm（中位数）的患者归为高 PFT：结果：肿瘤大小、R.E.N.A.L.肾测定总分及其 N 组分、肾萼开口、三联征完成情况和 PFT 是术后 1 年肾功能不全的危险因素。年龄≥75岁（p = 0.024）、总RNS≥7（p = 0.036）和PFT >21.0 mm（p = 0.002）与术后肾功能不全显著相关：结论：CT测量的PFT是预测术后肾功能不全的重要指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.