Open Partial Nephrectomy for High-Risk Renal Masses Is Associated with XXXX : Assessment of a Severe Procedure-Related Complication.

@entity1 @entity8 @entity5 @entity1416 @entity260
Objectives. A symptomatic @entity8 ( @entity8 ) is a severe complication after open partial nephrectomy (OPN). The aim of our study was to assess incidence and risk factors for @entity8 formation. Furthermore, we present our management strategy. @entity1 and Methods. Clinical records of consecutive @entity1 undergoing OPN were assessed for surgical outcome and @entity260 . Renal masses were risk stratified for @entity5 complexity according to the PADUA score. Uni- and multivariate analysis for symptomatic RPAs were performed using the t-tests and logistic regression. Results. We identified 233 @entity1 treated with OPN. Symptomatic RPAs were observed in 13 (5.6%) @entity1 , on average 14 (4-42) days after surgery. Uni- and multivariate analysis identified @entity5 complexity to be an independent predictor for symptomatic RPAs (p = 0.004). There was a significant correlation between RPAs and transfusion and the duration of stay (p < 0.001 and p = 0.021). Symptomatic RPAs were diagnosed with CT scans and successfully treated with @entity1416 . Discussion. Symptomatic RPAs are not uncommon after OPN for high-risk renal masses. A high nephrometry score is a predictor for this severe complication and may enable a risk-stratified followup. RPAs can successfully be located by CT angiography, which enables targeted angiographic treatment.
