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  11. The Impact Of Preoperative Fasting Time On Patients Undergoing Partial Nephrectomy And Analysis Of Risk Factors For Postoperative Hemorrhage

The impact of preoperative fasting time on patients undergoing partial nephrectomy and analysis of risk factors for postoperative hemorrhage

Chunji Wang1, Jiazhao Cui1, Zihui Gao1

  • 1Department of Urology, Peking University First Hospital - MiYun Hospital, Beijing, China.

Frontiers in Surgery
|October 18, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Short preoperative fasting before partial nephrectomy is linked to greater hemoglobin decrease and increased hemorrhage risk. Preoperative fasting duration is a key factor in postoperative bleeding after partial nephrectomy.

Area of Science:

  • Urology
  • Surgical Oncology
  • Nephrology

Background:

  • Partial nephrectomy is a common procedure for renal tumors.
  • Optimizing perioperative management, including preoperative fasting, is crucial for patient outcomes.
  • Understanding factors influencing postoperative hemorrhage is essential for surgical safety.

Purpose of the Study:

  • To investigate the impact of preoperative fasting duration on patients undergoing partial nephrectomy.
  • To identify risk factors associated with postoperative hemorrhage after partial nephrectomy.

Main Methods:

  • Retrospective analysis of 74 patients who underwent partial nephrectomy.
  • Comparison of outcomes between short-term and long-term preoperative fasting groups.
  • Univariate and multivariate logistic regression to determine risk factors for hemorrhage.
Keywords:
fasting timehemorrhagepartial nephrectomyrisk factors

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Main Results:

  • Short-term fasting group showed a significantly greater decrease in hemoglobin (21.08 ± 12.44 ml) compared to the long-term group (13.65 ± 11.69 ml).
  • Significant differences were observed in serum calcium, magnesium, and phosphorus levels between fasting groups.
  • Type of surgery and preoperative fasting time were identified as independent risk factors for postoperative hemorrhage.

Conclusions:

  • Short-term preoperative fasting in partial nephrectomy patients leads to a more pronounced hemoglobin reduction.
  • Preoperative fasting duration and surgical approach are critical independent risk factors for postoperative bleeding in partial nephrectomy.
type of surgery