SciELO - Scientific Electronic Library Online

 
vol.89 número3Indicadores de desempeño de procesos médicos con alineamiento estratégico en la atención al pacienteSalud mental en la población peruana durante la COVID-19 índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay artículos similaresSimilares en SciELO

Compartir


Cirugía y cirujanos

versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411

Resumen

AVILES-IBARRA, Oswaldo J. et al. Preoperative risk factors in patients with xanthogranulomatous pyelonephritis undergoing nephrectomy. Cir. cir. [online]. 2021, vol.89, n.3, pp.411-415.  Epub 03-Nov-2021. ISSN 2444-054X.  https://doi.org/10.24875/ciru.20000108.

Objective:

To identify preoperative risk factors associated with major complications in patients with xanthogranulomatous pyelonephritis undergoing total nephrectomy.

Method:

Retrospective analysis of patient's charts with xanthogranulomatous pyelonephritis who underwent nephrectomy. Risk factors included for analysis were gender, body mass index, Charlson comorbidity index, American Society of Anesthesiologists physical status classification, Malek's stage, leukocyte count and creatinine levels. Postoperative complications were stratified in minor and major according to Clavien-Dindo's classification. Univariate and bivariate analysis using Fisher's exact test, Pearson's chi-squared and odds ratio (OR) was performed.

Results:

72 patients were analyzed, 83% women, mean age of 50 years, 58.3% positive urine cultures and 66% kidney stones. Major complications were present in 32% of cases, and 15% were admitted to the intensive care unit. Elevated creatinine (OR: 3.8; 95% confidence interval [95%CI]: 1.1-13; p = 0.02) and Malek's stage II to III (OR: 4.5; 95%CI: 1.2-17.5; p = 0.02) were associated with major complications.

Conclusion:

The Malek Stage and elevated creatinine increases the risk of major complications in patients undergoing nephrectomy due to xanthogranulomatous pyelonephritis.

Palabras llave : Xanthogranulomatous pyelonephritis; Nephrectomy; Postoperative complication; Prognosis.

        · resumen en Español     · texto en Español