A comparison of renal functional outcomes after partial nephrectomy with and without pedicle clamping

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Hassanzadeh Kamaleddin; FARSHI ALIREZA; GHOJAZADEH MORTEZA; BAGHERI AMIN

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Journal: JOURNAL OF RESEARCH IN CLINICAL MEDICINE Year:2021 | Volume:9 | Issue:1 Page(s): 0-0

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Title

A comparison of renal functional outcomes after partial nephrectomy with and without pedicle clamping

Author(s)

Hassanzadeh Kamaleddin | FARSHI ALIREZA | GHOJAZADEH MORTEZA | BAGHERI AMIN | Issue Writer Certificate

Keywords

Partial nephrectomy

Pedicle clamping

Kidney cancer

Abstract

Introduction: Considering the mixed results reported about Partial nephrectomy with and without Pedicle clamping, this study aimed to compare the impacts of these two techniques on renal functional outcomes. Methods: This was descriptive-analytical study. Patients included in the investigation were randomly assigned to Pedicle clamping and non-clamping groups. The day before surgery, the routine tests, as well as diethylene triamine pentaacetic acid (DTPA) scan were carried out for all of the patients, and some questions were asked from them. During the surgery, the amount of blood loss and the duration of Pedicle clamping were measured, and after the surgery, the required tests were performed for all patients. Also, three months after hospital discharge, DTPA scan was carried out for all patients once again. Finally, required statistical analyses were performed on the obtained data, using SPSS v. 18. Results: The present study was conducted on 40 patients with renal cancer who underwent Partial nephrectomy with (20 patients) and without (20 patients) Pedicle clamping. The amount of operative blood loss (P = 0. 000) and blood transfusion (P = 0. 001) in the non-Pedicle clamping group were higher than those in the Pedicle clamping group. The mean duration of surgery for patients in the Pedicle clamping group was 139. 2 minutes, and for those in the non-Pedicle clamping group was 149 minutes (P = 0. 258). The mean duration of Pedicle clamping was also calculated to be 20. 65 minutes. The results of renal scans 3 months after the surgery indicated that the level of renal function decline in the Pedicle clamping group was significantly higher than that in the non-Pedicle clamping group (P = 0. 000). Conclusion: The results of this study indicated that Partial nephrectomy without Pedicle clamping could lead to a better renal function in the short run. However, the level of blood loss, as well as the need for blood transfusion in patients, increases as a result of using this technique.

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APA: Copy

Hassanzadeh, Kamaleddin, FARSHI, ALIREZA, GHOJAZADEH, MORTEZA, & BAGHERI, AMIN. (2021). A comparison of renal functional outcomes after partial nephrectomy with and without pedicle clamping. JOURNAL OF RESEARCH IN CLINICAL MEDICINE, 9(1), 0-0. SID. https://sid.ir/paper/777235/en

Vancouver: Copy

Hassanzadeh Kamaleddin, FARSHI ALIREZA, GHOJAZADEH MORTEZA, BAGHERI AMIN. A comparison of renal functional outcomes after partial nephrectomy with and without pedicle clamping. JOURNAL OF RESEARCH IN CLINICAL MEDICINE[Internet]. 2021;9(1):0-0. Available from: https://sid.ir/paper/777235/en

IEEE: Copy

Kamaleddin Hassanzadeh, ALIREZA FARSHI, MORTEZA GHOJAZADEH, and AMIN BAGHERI, “A comparison of renal functional outcomes after partial nephrectomy with and without pedicle clamping,” JOURNAL OF RESEARCH IN CLINICAL MEDICINE, vol. 9, no. 1, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/777235/en

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