Acute kidney injury after robot-assisted laparoscopic prostatectomy: A meta-analysis

被引:4
作者
Chandramohan, Deepak [1 ]
Konda, Raghunandan [1 ]
Pujari, Ashwini [1 ]
Avula, Sreekant [2 ,6 ]
Palleti, Sujith Kumar [3 ]
Jena, Nihar [4 ]
Naik, Roopa [5 ]
Bali, Atul [5 ]
机构
[1] Univ Alabama Birmingham, Dept Internal Med Nephrol, Birmingham, AL USA
[2] Univ Minnesota Twin Cities, Dept Internal Med Endocrinol, Minneapolis, MN USA
[3] Louisiana State Univ, Dept Internal Med Nephrol, Shreveport, LA USA
[4] Wayne State Univ, Dept Internal Med Cardiovasc Med, Trinity Hlth Oakland, Pontiac, MI USA
[5] Geisinger Hlth, Dept Med, Wilkes Barre, PA USA
[6] Univ Minnesota, Diabet Endocrinol & Metab, Minneapolis, MN 55344 USA
关键词
acute kidney injury; pneumoperitoneum; prostate cancer; robot assisted laparoscopic radical prostatectomy; RADICAL PROSTATECTOMY; OUTCOMES;
D O I
10.1002/rcs.2630
中图分类号
R61 [外科手术学];
学科分类号
摘要
BackgroundWe investigated the rates of acute kidney injury (AKI) post robot-assisted laparoscopic prostatectomy (RALP).MethodsA comprehensive search was conducted to identify studies that reported the rates of AKI post-RALP. A random effects model was used, and the pooled rates of AKI were calculated.ResultsWe identified 10 studies with 60,937 patients to be included. The mean age was 65.1 years. The mean anaesthesia time was 234.3 min (95% CI: 177.8-290.9). The mean operation time was 212.2 min (95% CI: 188.7-235.6). The mean estimated blood loss was 314.1 mL (95% CI: 153-475.3). The mean intraoperative IV fluids administered were 1985 mL (95% CI: 1516.3-2453.7). The pooled rate of AKI post RALP was 7.2% (95% CI 19-23.9).ConclusionsThe rates of AKI after RALP are significant. Further studies are needed to detect the risk factors for AKI and to determine the rates of chronic kidney disease post-RALP.
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页数:10
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