Urologia · 2022
Perioperative predictors for complications in patients with Xanthogranulomatous Pyelonephritis treated with nephrectomy.
ОбзорСтатьяНазвание и аннотация: Перевод в очереди
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Montelongo-Rodríguez Fred Alain, Pallares-Mendez Rigoberto, Robles-Torres José Iván, Romero-Mata Rodrigo, Cervantes-Miranda Daniel Eduardo, Gutiérrez-González Adrián, García-Arreola Jorge Ángel
Аннотация
INTRODUCTION: Xanthogranulomatous pyelonephritis is an inflammatory disease characterized by chronic obstruction and infection. This pathology is a life-threatening condition when surgical treatment is carried out. We decided to retrospectively evaluate whether there were perioperative factors that predict complications in patients who undergo nephrectomy.
METHODS: We reviewed all nephrectomies done in the period of 2013-2018, in a tertiary referral Hospital with the histopathological diagnosis of Xanthogranulomatous Pyelonephritis.
RESULTS: The presence of renal abscess at admission was observed as a risk factor associated with perioperative complications (p = 0.002), presence of abscess was observed in 47.4% of subjects without complications compared to 89.3% of the perioperative complication group. Higher rates of blood transfusion requirement were observed in the perioperative complication group, 89.3% compared to 68.4% (p = 0.029), furthermore, perioperative bleeding was slightly greater in the complication group compared to its counterpart, 700 mL, and 600 mL, respectively (p = 0.01).
CONCLUSIONS: Anemia and the presence of abscess were important perioperative factors that predict perioperative complications.
METHODS: We reviewed all nephrectomies done in the period of 2013-2018, in a tertiary referral Hospital with the histopathological diagnosis of Xanthogranulomatous Pyelonephritis.
RESULTS: The presence of renal abscess at admission was observed as a risk factor associated with perioperative complications (p = 0.002), presence of abscess was observed in 47.4% of subjects without complications compared to 89.3% of the perioperative complication group. Higher rates of blood transfusion requirement were observed in the perioperative complication group, 89.3% compared to 68.4% (p = 0.029), furthermore, perioperative bleeding was slightly greater in the complication group compared to its counterpart, 700 mL, and 600 mL, respectively (p = 0.01).
CONCLUSIONS: Anemia and the presence of abscess were important perioperative factors that predict perioperative complications.