Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy

Jae Hyun Ahn, Choon Hak Lim, Hye In Chung, Sung Uk Choi, Seung Zoo Youn, Hae Ja Lim

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Pneumoperitoneum with an intra-abdominal pressure (IAP) of 14 mmHg is known to decrease renal function. Robotic-assisted radical prostatectomy (RARP) requires an IAP of more than 15 mmHg for operation. Therefore, we retrospectively investigated whether patients who underwent RARP experienced renal insufficiency during the postoperative period (at postoperative days 7 and 30). Methods: One hundred patients who underwent RARP were enrolled in this study. Preoperative serum blood urea nitrogen (BUN) and serum creatinine (Cr) levels were measured. Creatinine clearance (CrCl) was calculated using the Cockcroft and Gault formula. CrCl was calculated at 1 day before surgery (baseline), 2 hr postoperatively, and at 1, 3, 7, and 30 days postoperatively (POD 1, POD 3, POP 7, and POD 30). Patients were assigned to abnormal CrCl (n = 52) or normal CrCl groups (n = 48) on the basis of these measurements. Results: Significant inter-group differences in BUN, Cr, and CrCl were observed at all postoperative time points. BUN and Cr decreased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups, whereas CrCl increased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups. However, BUN, Cr, and CrCl were similar at POD 30 and preoperatively in the two groups. Conclusions: RAPR, which requires an IAP of 15-20 mmHg for more than 4 hr, does not induce renal dysfunction during the postoperative period, and even in those patients with an abnormal CrCl.

Original languageEnglish
Pages (from-to)192-197
Number of pages6
JournalKorean Journal of Anesthesiology
Volume60
Issue number3
DOIs
Publication statusPublished - 2011 Mar 1

Fingerprint

Robotics
Prostatectomy
Creatinine
Kidney
Blood Urea Nitrogen
Postoperative Period
Pressure
Pneumoperitoneum
Serum
Ambulatory Surgical Procedures
Renal Insufficiency

Keywords

  • Pneumoperitoneum
  • Renal function

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy. / Ahn, Jae Hyun; Lim, Choon Hak; Chung, Hye In; Choi, Sung Uk; Youn, Seung Zoo; Lim, Hae Ja.

In: Korean Journal of Anesthesiology, Vol. 60, No. 3, 01.03.2011, p. 192-197.

Research output: Contribution to journalArticle

@article{73e044a8c7a643628f29e696cf092b40,
title = "Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy",
abstract = "Background: Pneumoperitoneum with an intra-abdominal pressure (IAP) of 14 mmHg is known to decrease renal function. Robotic-assisted radical prostatectomy (RARP) requires an IAP of more than 15 mmHg for operation. Therefore, we retrospectively investigated whether patients who underwent RARP experienced renal insufficiency during the postoperative period (at postoperative days 7 and 30). Methods: One hundred patients who underwent RARP were enrolled in this study. Preoperative serum blood urea nitrogen (BUN) and serum creatinine (Cr) levels were measured. Creatinine clearance (CrCl) was calculated using the Cockcroft and Gault formula. CrCl was calculated at 1 day before surgery (baseline), 2 hr postoperatively, and at 1, 3, 7, and 30 days postoperatively (POD 1, POD 3, POP 7, and POD 30). Patients were assigned to abnormal CrCl (n = 52) or normal CrCl groups (n = 48) on the basis of these measurements. Results: Significant inter-group differences in BUN, Cr, and CrCl were observed at all postoperative time points. BUN and Cr decreased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups, whereas CrCl increased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups. However, BUN, Cr, and CrCl were similar at POD 30 and preoperatively in the two groups. Conclusions: RAPR, which requires an IAP of 15-20 mmHg for more than 4 hr, does not induce renal dysfunction during the postoperative period, and even in those patients with an abnormal CrCl.",
keywords = "Pneumoperitoneum, Renal function",
author = "Ahn, {Jae Hyun} and Lim, {Choon Hak} and Chung, {Hye In} and Choi, {Sung Uk} and Youn, {Seung Zoo} and Lim, {Hae Ja}",
year = "2011",
month = "3",
day = "1",
doi = "10.4097/kjae.2011.60.3.192",
language = "English",
volume = "60",
pages = "192--197",
journal = "Korean Journal of Anesthesiology",
issn = "2005-6419",
publisher = "Korean Society of Anesthesiologists",
number = "3",

}

TY - JOUR

T1 - Postoperative renal function in patients is unaltered after robotic-assisted radical prostatectomy

AU - Ahn, Jae Hyun

AU - Lim, Choon Hak

AU - Chung, Hye In

AU - Choi, Sung Uk

AU - Youn, Seung Zoo

AU - Lim, Hae Ja

PY - 2011/3/1

Y1 - 2011/3/1

N2 - Background: Pneumoperitoneum with an intra-abdominal pressure (IAP) of 14 mmHg is known to decrease renal function. Robotic-assisted radical prostatectomy (RARP) requires an IAP of more than 15 mmHg for operation. Therefore, we retrospectively investigated whether patients who underwent RARP experienced renal insufficiency during the postoperative period (at postoperative days 7 and 30). Methods: One hundred patients who underwent RARP were enrolled in this study. Preoperative serum blood urea nitrogen (BUN) and serum creatinine (Cr) levels were measured. Creatinine clearance (CrCl) was calculated using the Cockcroft and Gault formula. CrCl was calculated at 1 day before surgery (baseline), 2 hr postoperatively, and at 1, 3, 7, and 30 days postoperatively (POD 1, POD 3, POP 7, and POD 30). Patients were assigned to abnormal CrCl (n = 52) or normal CrCl groups (n = 48) on the basis of these measurements. Results: Significant inter-group differences in BUN, Cr, and CrCl were observed at all postoperative time points. BUN and Cr decreased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups, whereas CrCl increased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups. However, BUN, Cr, and CrCl were similar at POD 30 and preoperatively in the two groups. Conclusions: RAPR, which requires an IAP of 15-20 mmHg for more than 4 hr, does not induce renal dysfunction during the postoperative period, and even in those patients with an abnormal CrCl.

AB - Background: Pneumoperitoneum with an intra-abdominal pressure (IAP) of 14 mmHg is known to decrease renal function. Robotic-assisted radical prostatectomy (RARP) requires an IAP of more than 15 mmHg for operation. Therefore, we retrospectively investigated whether patients who underwent RARP experienced renal insufficiency during the postoperative period (at postoperative days 7 and 30). Methods: One hundred patients who underwent RARP were enrolled in this study. Preoperative serum blood urea nitrogen (BUN) and serum creatinine (Cr) levels were measured. Creatinine clearance (CrCl) was calculated using the Cockcroft and Gault formula. CrCl was calculated at 1 day before surgery (baseline), 2 hr postoperatively, and at 1, 3, 7, and 30 days postoperatively (POD 1, POD 3, POP 7, and POD 30). Patients were assigned to abnormal CrCl (n = 52) or normal CrCl groups (n = 48) on the basis of these measurements. Results: Significant inter-group differences in BUN, Cr, and CrCl were observed at all postoperative time points. BUN and Cr decreased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups, whereas CrCl increased significantly at postoperative 2 hr and POD 1, 3, and 7 versus baseline in both groups. However, BUN, Cr, and CrCl were similar at POD 30 and preoperatively in the two groups. Conclusions: RAPR, which requires an IAP of 15-20 mmHg for more than 4 hr, does not induce renal dysfunction during the postoperative period, and even in those patients with an abnormal CrCl.

KW - Pneumoperitoneum

KW - Renal function

UR - http://www.scopus.com/inward/record.url?scp=79955459645&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955459645&partnerID=8YFLogxK

U2 - 10.4097/kjae.2011.60.3.192

DO - 10.4097/kjae.2011.60.3.192

M3 - Article

VL - 60

SP - 192

EP - 197

JO - Korean Journal of Anesthesiology

JF - Korean Journal of Anesthesiology

SN - 2005-6419

IS - 3

ER -