Nonmodifiable factors including pre-operative renal function and amount of healthy renal tissue preserved are the most important predictive factors that determine renal function after partial nephrectomy. Ischaemia time is an important modifiable risk factor and cold ischaemia time should be used if longer ischaemia time is anticipated. New techniques may have a role in maximising postoperative kidney function, but more robust studies are required to understand their potential benefits and risks.
Urologia. 2017 Jan 16 [Epub ahead of print]
Hani Ertemi, Pramit Khetrapal, Nevil M Pavithran, Faiz Mumtaz
Department of Urology, Basildon and Thurrock University Hospitals NHS Trust, Essex - UK., Division of Surgery and Interventional Science, University College London, London - UK., Department of Urology, Royal Free London NHS Foundation Trust, London - UK.