Assessment of the Perioperative Risk of Different Operation Times on Renal Angiomyolipoma Patients with Rupture and Hemorrhage
- VernacularTitle:肾血管平滑肌脂肪瘤破裂出血不同手术时机的围手术期风险评估
- Author:
Si-Hua LI
1
;
Yu CHEN
;
Jun-Long ZHANG
;
Ling-Wu CHEN
;
Xiao-Fei LI
Author Information
1. 汕尾市逸挥基金医院外一科
- Keywords:
renal tumor;
angiomyolipoma;
rupture and hemorrhage;
operation time
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2018;39(3):400-404
- CountryChina
- Language:Chinese
-
Abstract:
[Objective] To investigate the perioperative risk of different operation times on renal angiomyolipoma (AML) patients with rupture and hemorrhage.[Methods] From January 2006 to December 2016,AML patients with rupture and hemorrhage who receiving surgical treatment were recruited.According to the operation time,patients receiving surgery within 7 days after the hemorrhage were classified as short-term operation group.Patients receiving surgery exceeded 30 days after the hemorrhage were classified as long-term operation group.The general and perioperative data were compared between the two groups.[Results] There were no statistically significant differences in age,tumor size,clinical symptoms and operative methods between the two groups.However,as compared to the long-term operation group,the hemorrhage during surgery [(780±451) vs.(572±913) mL,P=0.029],the volume of transfused blood [(2600 ± 1733) vs.(820±582) mL,P=0.027],the nephrectomy rate (60.0％ vs.22.6％,P=0.027) were significantly increased in the short-term operation group.[Conclusions] A long-term operation group for AML patients with rupture and hemorrhage could have a lower perioperative risk.
