Predictive factors of acute kidney injury in patients undergoing rectal surgery

Sung Yoon Lim, Joon Yong Lee, Ji Hyun Yang, Young Joo Na, Myung Gyu Kim, Sang Kyung Jo, Won Yong Cho

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

Background Despite major advance in surgical techniques from open surgery to robot-assisted surgery, acute kidney injury (AKI) is still major postoperative complication in rectal surgery. The purpose of this study is to compare the incidence of postoperative AKI according to different surgical techniques and also the risk factors, outcomes of AKI in patients undergoing rectal cancer surgery. Methods A retrospective medical chart review was done in a total of 288 patients who received proctectomy because of rectal cancer from 2011 to 2013. Results The mean patient age was 62 ± 12 years, and male was 64.2%. Preoperative creatinine was 0.91 ± 0.18 mg/dL. Open surgery was performed in 9%, and laparoscopy assisted surgery or robot assisted surgery were performed in 54.8% or 36.1% of patients, respectively. AKI developed in 11 patients (3.82%), 2 (18%) of them received acute hemodialysis. Incidence of AKI was not different according to the surgical technique, however, the presence of diabetes, intraoperative shock, and postoperative ileus was associated with the development of AKI. In addition, AKI patients showed significantly longer hospital stay and higher mortality than non-AKI patients. Conclusion Our study demonstrated that despite advances in surgical techniques, incidence of postoperative AKI remains unchanged and also that postoperative AKI is associated with poor outcome. We also found that presence of diabetes, intraoperative shock and postoperative ileus are strongly associated with the development of AKI. More careful attention should be paid on high risk patients for the development of postoperative AKI regardless of surgical techniques.

Original languageEnglish
Pages (from-to)160-164
Number of pages5
JournalKidney Research and Clinical Practice
Volume35
Issue number3
DOIs
Publication statusPublished - 2016 Sep 1

Keywords

  • Acute kidney injury
  • Ileus
  • Laparoscopy
  • Proctectomy
  • Robotic surgical procedures

ASJC Scopus subject areas

  • Nephrology
  • Urology

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