Transient acute kidney injury observed immediately after robot‑assisted radical prostatectomy but not after open radical prostatectomy

  • Authors:
    • Akihiro Naito
    • Satoru Taguchi
    • Motofumi Suzuki
    • Taketo Kawai
    • Kanji Uchida
    • Tetsuya Fujimura
    • Hiroshi Fukuhara
    • Haruki Kume
  • View Affiliations

  • Published online on: July 9, 2020     https://doi.org/10.3892/mco.2020.2087
  • Article Number: 18
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Abstract

Acute kidney injury (AKI) is a serious postoperative complication that occurs following laparoscopic surgery. However, its association with robot‑assisted radical prostatectomy (RARP), the gold standard surgery for prostate cancer, is controversial. The current cohort included 257 patients with prostate cancer who underwent either RARP (n=187) or open radical prostatectomy (ORP; n=70). Patient serum creatinine concentration was measured at the following six time points: Prior to surgery, on postoperative day 0 (immediately after surgery), on postoperative day 1, 3 months after surgery, 1 year after surgery and 2 years after surgery. AKI was diagnosed according to the Kidney Disease: Improving Global Outcomes (KDIGO) criteria. A total of 25 RARP and 0 ORP patients met the KDIGO criteria on postoperative day 0. On postoperative day 1, 3 RARP and 2 ORP patients met the criteria, suggesting that AKI after RARP was a transient phenomenon. At 1 and 2 years after surgery, 5 of 257 patients exhibited a significant increase in serum creatinine concentrations from baseline results. Clinicians should be aware of transient AKI occurring after RARP, rather than ORP, to ensure better perioperative management in patients undergoing radical prostatectomy.
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September-2020
Volume 13 Issue 3

Print ISSN: 2049-9450
Online ISSN:2049-9469

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Spandidos Publications style
Naito A, Taguchi S, Suzuki M, Kawai T, Uchida K, Fujimura T, Fukuhara H and Kume H: Transient acute kidney injury observed immediately after robot‑assisted radical prostatectomy but not after open radical prostatectomy. Mol Clin Oncol 13: 18, 2020
APA
Naito, A., Taguchi, S., Suzuki, M., Kawai, T., Uchida, K., Fujimura, T. ... Kume, H. (2020). Transient acute kidney injury observed immediately after robot‑assisted radical prostatectomy but not after open radical prostatectomy. Molecular and Clinical Oncology, 13, 18. https://doi.org/10.3892/mco.2020.2087
MLA
Naito, A., Taguchi, S., Suzuki, M., Kawai, T., Uchida, K., Fujimura, T., Fukuhara, H., Kume, H."Transient acute kidney injury observed immediately after robot‑assisted radical prostatectomy but not after open radical prostatectomy". Molecular and Clinical Oncology 13.3 (2020): 18.
Chicago
Naito, A., Taguchi, S., Suzuki, M., Kawai, T., Uchida, K., Fujimura, T., Fukuhara, H., Kume, H."Transient acute kidney injury observed immediately after robot‑assisted radical prostatectomy but not after open radical prostatectomy". Molecular and Clinical Oncology 13, no. 3 (2020): 18. https://doi.org/10.3892/mco.2020.2087