지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.3
- 발행연도
- 2012.9
- 수록면
- 162 - 170 (9page)
이용수
초록· 키워드
오류제보하기
Purpose: The aim of this study was to assess renal or abdominal visceral complications after open aortic surgery (OAS) requiring supra-renal aortic cross clamping (SRACC). Methods: We retrospectively reviewed the medical records of 66 patients who underwent SRACC. Among them, 17 followed supra-celiac aortic cross clamping (SCACC) procedure, 42 supra-renal, and 7 inter-renal aorta. Postoperative renal, hepatic or pancreatic complications were investigated by reviewing levels of serum creatinine and hepatic and pancreatic enzymes. Preoperative clinical and operative variables were analyzed to determine risk factors for postoperative renal insufficiency (PORI). Results: Indications for SRACC were 25 juxta-renal aortic occlusion and 41 aortic aneurysms (24 juxta-renal, 12 supra-renal and 5 type IV thoraco-abdominal). The mean duration of renal ischemic time (RIT) was 30.1 ± 22.2 minutes (range, 3 to 120 minutes). PORI developed in 21% of patients, including four patients requiring hemodialysis (HD). However, chronic HD was required for only one patient (1.5%) who had preoperative renal insufficiency. RIT ≥ 25 minutes and SCACC were significant risk factors for PORI development by univariate analysis, but not by multivariate analysis. Serum pancreatic and hepatic enzyme was elevated in 41% and 53% of the 17 patients who underwent SCACC, respectively. Conclusion: Though postoperative renal or abdominal visceral complications developed often after SRACC, we found that most of those complications resolved spontaneously unless there was preexisting renal disease or the aortic clamping time was exceptionally long.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Costin JA / 2006 / Evaluation of the complexity of open abdominal aneurysm repair in the era of endovascular stent grafting / J Vasc Surg 43 : 915 ~ 920
3. [학술지(정기간행물)] - Kim TH / 2011 / Outcomes of endovascular treatment of chronic total occlusion of the infrarenal aorta / J Vasc Surg 53 : 1542 ~ 1549
4. [학술지(정기간행물)] - Sharp WJ / 2008 / Suprarenal clamping is a safe method of aortic control when infrarenal clamping is not desirable / Ann Vasc Surg 22 : 534 ~ 540
5. [학술지(정기간행물)] - Giulini SM / 2000 / Suprarenal aortic cross clamping in elective abdominal aortic aneurysm surgery / Eur J Vasc Endovasc Surg 20 : 286 ~ 289
6. [학술지(정기간행물)] - Marrocco-Trischitta MM / 2009 / The impact of aortic clamping site on glomerular filtration rate after juxtarenal aneurysm repair / Ann Vasc Surg 23 : 770 ~ 777
3. [학술지(정기간행물)] - Kim TH / 2011 / Outcomes of endovascular treatment of chronic total occlusion of the infrarenal aorta / J Vasc Surg 53 : 1542 ~ 1549
4. [학술지(정기간행물)] - Sharp WJ / 2008 / Suprarenal clamping is a safe method of aortic control when infrarenal clamping is not desirable / Ann Vasc Surg 22 : 534 ~ 540
5. [학술지(정기간행물)] - Giulini SM / 2000 / Suprarenal aortic cross clamping in elective abdominal aortic aneurysm surgery / Eur J Vasc Endovasc Surg 20 : 286 ~ 289
6. [학술지(정기간행물)] - Marrocco-Trischitta MM / 2009 / The impact of aortic clamping site on glomerular filtration rate after juxtarenal aneurysm repair / Ann Vasc Surg 23 : 770 ~ 777
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UCI(KEPA) : I410-ECN-0101-2014-514-001420291