Abstract
Objective To identify the risk factors for hemorrhage after open partial nephrectomy (OPN) for renal tumor,and to discuss the clinical management.Methods From May 2008 to October 2011,362 consecutive patients who underwent OPN in Renji Hospital were analyzed in this study.Sex,age,body mass index,ASA score,hypertension,diabetes mellitus,coronary artery disease/congestive heart failure,multifocality,malignant vs benign pathology and preoperative aspects and dimensions used for anatomical classification (PADUA) score were tested and significant variables entered in a multivariate model associated with hemorrhagic complications (blood loss requiring blood transfusion).The clinical management of hemorrhage after OPN was reviewed.Results Fifteen patients with bleeding received blood transfusion in the 362 cases.On muhivariate analysis,PADUA score (P＜0.001) and multifocal tumors (P=0.004) were independent risk factors associated with hemorrhagic complications.Among 15 bleeding patients,11 received conservative therapy; other 4 needed superselective percutaneous transarterial embolization (TAE).Bleeding was finally controlled in all the 15 patients.Conclusions High PADUA score and multifocal tumors could be identified as risk factors for hemorrhage after OPN.The management was relying on TAE as an effective and safe treatment for bleeding after OPN. Key words: Nephron-sparing surgery ; Hemorrhage ; Risk factor
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
