Renal volume matters: Assessing the association between excisional volume loss and renal function after partial nephrectomy.


BACKGROUND/OBJECTIVES:To investigate the oncological and functional outcomes after partial nephrectomy for clinical stage T1 (cT1) renal cell carcinoma (RCC), and assess the association between excisional volume loss (EVL) and postoperative renal function. METHODS:We retrospectively reviewed 150 patients with cT1 RCC undergoing partial nephrectomy from 2002 to 2016. End-point evaluation was assessed by recurrence free survival (RFS), overall survival (OS), stage III and stage IV chronic kidney disease (CKD). Regression models were used to determine the risk factors of CKD after surgery. The relationship between EVL and renal function decline was evaluated using Spearman correlation method. RESULTS:Ninety patients with clinical stage T1a (cT1a) tumors and 60 patients with clinical stage T1b (cT1b) tumors were included. There were no differences in RFS, OS, and risk of stage III and stage IV CKD between the two groups. In Cox regression models, multivariate analysis showed that preoperative estimated glomerular filtration rate (eGFR) was an independent risk factor for developing stage III (hazard ratio 0.937, P < 0.001) and stage IV CKD (hazard ratio 0.929, P = 0.027). EVL was significantly associated with postoperative eGFR decrease. (Correlation Coefficient = 0.325, P = 0.003). CONCLUSIONS:Patients with cT1a and cT1b RCC have comparable oncological and functional outcome after partial nephrectomy, and preoperative eGFR is an independent factor to predict developing CKD. EVL has influence on the postoperative renal function decline.


Asian J Surg


Asian journal of surgery


Lai GS,Hung SC,Chang LW,Wang SS,Li JR,Chen CS,Yang CK,Cheng CL,Ou YC,Ho HC,Chiu KY




Has Abstract


2020-01-01 00:00:00














  • Evaluation of intra- and post-operative outcomes to compare robot-assisted surgery and conventional laparoscopy for gynecologic oncology.

    abstract:OBJECTIVE:To compare robot-assisted surgery and conventional laparoscopy for gynecologic oncology regarding intra- and post-operative outcomes. METHODS:A retrospective study was performed on consecutive patients with gynecologic oncology from February 2014 to October 2017 at Gansu Provincial Hospital, China. Multivari...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Wang LL,Yan PJ,Yao L,Liu R,Hou F,Chen XH,Han LL,Xu LY,Xu H,Li J,Guo TK,Yang KH,Wang HL

    更新日期:2020-01-01 00:00:00

  • Caecal volvulus in pregnancy: is delay in diagnosis avoidable?

    abstract::Intestinal volvulus is not an uncommon cause of obstruction in pregnancy. Diagnosis is often delayed due to poor knowledge of the condition and a hesitation to use abdominal X-rays in a pregnant patient. Here, two cases of caecal volvulus in pregnancy are reported. Proper diagnosis and early treatment of the condition...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Singla SL,Kadian YS,Goyal A,Sharma U,Kadian N

    更新日期:2005-01-01 00:00:00

  • Postoperative changes in neutrophil-to-lymphocyte ratio and platelet count: A simple prognostic predictor for adult-to-adult living donor liver transplantation.

    abstract:BACKGROUND/OBJECTIVE:The neutrophil-to-lymphocyte ratio (NLR) is a simple index that represents systemic inflammatory change. The number of platelets is also known to reflect both post-transplant graft regeneration and dysfunction. Thus, we aimed to investigate the usefulness of NLR and platelet number in predicting th...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Hayashi H,Takamura H,Ohbatake Y,Nakanuma S,Tajima H,Fushida S,Onishi I,Tani T,Shimizu K,Ohta T

    更新日期:2018-07-01 00:00:00

  • Single-incision laparoscopic cholecystectomy: the first Malaysian experience.

    abstract:INTRODUCTION:Single-incision laparoscopic cholecystectomy (SILC) is an evolving concept in minimally invasive surgery. It utilizes the concept of inline viewing and a single incision that accommodates all of the working instruments. Here, we describe a single surgeon's initial experiences of using this technique in a t...

    journal_title:Asian journal of surgery

    pub_type: 临床试验,杂志文章


    authors: Siow SL,Khor TW,Chea CH,Nik Azim NA

    更新日期:2012-01-01 00:00:00

  • Single-port video-assisted thoracoscopic surgery subsegmentectomy: The learning curve and initial outcome.

    abstract:BACKGROUND:We report initial surgical results and learning process of single-port video-assisted thoracoscopic surgery (VATS) subsegmentectomy in comparison with segmentectomy in our institution as the presentative of minimal invasiveness and precise resection for early stage lung cancer. METHODS:All patients undergoi...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Chang CC,Yen YT,Lin CY,Chen YY,Huang WL,Tseng YL

    更新日期:2020-05-01 00:00:00

  • Isolated mediastinal lymphangioma herniating through the intercostal space.

    abstract::Lymphangiomas are congenital malformations of the lymphatic system, and 90% have manifested by the end of the second year of life. While 75% of these are located in the cervical region, only 2% to 3% are associated with an intrathoracic extension. An isolated mediastinal lymphangioma without a cervical component is an...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Handa R,Kale R,Upadhyay KK

    更新日期:2004-07-01 00:00:00

  • Outpatient procedures on the glans and anterior urethra under a new local anaesthesia: intracorpus spongiosum anaesthesia.

    abstract:OBJECTIVE:To determine the efficacy of intracorpus spongiosum anaesthesia during minor procedures on the glans and anterior urethra in the outpatient clinic. METHODS:Sixty-nine consecutive male patients underwent various procedures on the glans penis or anterior urethra under intracorpus spongiosum anaesthesia, which ...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Ye G,Wang XW,Yi SH,Zhang YG,Liu WC

    更新日期:2005-10-01 00:00:00

  • Minimally invasive parathyroidectomy: the Australian experience.

    abstract::Minimally invasive parathyroidectomy (MIP) was introduced into Australia after endocrine surgeons agreed that it should only be undertaken in the context of a feasibility study or controlled trial, and under the auspices of the Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNI...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Delbridge L

    更新日期:2003-04-01 00:00:00

  • Adjuvant therapy for the reduction of postoperative intra-abdominal adhesion formation.

    abstract:BACKGROUND:To review currently available evidence on the use of adjuvant therapy to reduce the formation of postoperative intra-abdominal adhesions. METHODS:A search on Pubmed and the Cochrane library was undertaken using the keywords "abdominal", "adhesion", "postoperative", "prevention" and "reduction". Only randomi...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章,评审


    authors: Cheung JP,Tsang HH,Cheung JJ,Yu HH,Leung GK,Law WL

    更新日期:2009-07-01 00:00:00

  • Prediction of organ-confined disease after robot-assisted radical prostatectomy in patients with clinically locally-advanced prostate cancer.

    abstract:BACKGROUND:Little is known about the preoperative predictive factors that could identify subsets of favorable patients who can be possibly cured with robot-assisted radical prostatectomy (RARP) alone in locally advanced prostate cancer (LAPCa). Our study was designed to identify clinical predictors of pathologic organ-...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Kang HW,Jung HD,Lee JY,Kwon JK,Jeh SU,Cho KS,Ham WS,Choi YD

    更新日期:2019-01-01 00:00:00

  • Prognostic study of using different monitoring modalities in treating severe traumatic brain injury.

    abstract:OBJECTIVE:To determine whether or not multimodality monitoring technique would result in a better outcome score than single modality monitoring in severely head injured patients. METHODS:This was a prospective randomized study that included all adults with traumatic severe head injury who had a Glasgow Coma Score < 9 ...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章,随机对照试验


    authors: Idris Z,Ghani RI,Musa KI,Ibrahim MI,Abdullah M,Nyi NN,Abdullah JM

    更新日期:2007-07-01 00:00:00

  • Mucosal repair of posterior perforation of duodenal diverticulitis using roux loop duodenojejunostomy.

    abstract::Perforation of duodenal diverticulum is a rare occurrence but has a potentially fatal outcome. It is a difficult surgical problem because of delayed diagnosis and the attendant risk of duodenal fistula following primary repair. We present a case of posterior perforation of duodenal diverticulitis, diagnosed on compute...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Lee VT,Chung AY,Soo KC

    更新日期:2005-04-01 00:00:00

  • Lipomatous ganglioneuroma of the retroperitoneum.

    abstract::Lipomatous ganglioneuroma (LG) is a rare variant of ganglioneuroma that is histologically characterized by a mature adipocytic component admixed with a conventional ganglioneuroma. We report the clinicopathological and immunohistochemical features of an LG in a 44-year-old Chinese male; additionally, we review the lit...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章,评审


    authors: Meng QD,Ma XN,Wei H,Pan RH,Jiang W,Chen FS

    更新日期:2016-04-01 00:00:00

  • Clinical features of multiply recurrent retroperitoneal liposarcoma: A single-center experience.

    abstract:BACKGROUND:To elucidate the clinicopathological features of multiply recurrent retroperitoneal liposarcoma referred to a tertiary center. METHODS:We retrospectively analyzed the clinical data of 40 patients with pathologically proven primary retroperitoneal liposarcoma treated between January 2015 and June 2019. RESU...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Masaki N,Onozawa M,Inoue T,Kurobe M,Kawai K,Miyazaki J

    更新日期:2021-01-01 00:00:00

  • How safe is adjuvant chemotherapy and radiotherapy for rectal cancer?

    abstract::Over the last three decades, a series of clinical trials have led to the use of adjuvant pelvic radiotherapy and chemotherapy in high-risk (T3-4 or N1) rectal cancer. There is a need to improve patient selection in order to identify the group most at risk for recurrent disease. The toxicity of adjuvant therapy should ...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章,评审


    authors: Chao MW,Tjandra JJ,Gibbs P,McLaughlin S

    更新日期:2004-04-01 00:00:00

  • Breast adenosquamous cell carcinoma presented in an intracystic form.

    abstract::Intracystic carcinoma is not common seen in breast malignancy, here we showed a case of intracystic tumor presented in adenosquamoid differentiation. Negative in ER, PR, and HER2 makes treatment out of hormone and target therapy. After simple mastectomy with sentinel lymph node biopsy, we found isolated tumor cell ove...

    journal_title:Asian journal of surgery

    pub_type: 信件


    authors: Liu Y,Hung CC,Chen YA,Tsai IC

    更新日期:2019-06-01 00:00:00

  • Branchial cyst: an often forgotten diagnosis.

    abstract:OBJECTIVE:To study the clinical presentations, diagnosis and management of patients with the pathological diagnosis of branchial cysts. METHODS:This was a retrospective analysis of the records of 33 patients with the diagnosis of branchial cyst, seen between 1987 and 2003 at the General Surgical Unit of Jordan Univers...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Daoud FS

    更新日期:2005-07-01 00:00:00

  • The anatomy of the external branch of the superior laryngeal nerve in Koreans.

    abstract:BACKGROUND:Preservation of the external branch of the superior laryngeal nerve (EBSLN) during thyroidectomy is important because its injury may lead to frequent occurrence of vocal fatigue and the inability to perform superenergetic phonation. Most studies on the anatomy of EBSLN have been performed in Western countrie...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Hwang SB,Lee HY,Kim WY,Woo SU,Lee JB,Bae JW,Kim HY

    更新日期:2013-01-01 00:00:00

  • Prognostic value of hypocholesterolemia in patients with gastric cancer.

    abstract:BACKGROUND:According to previous studies, low serum total cholesterol (TC) is associated with higher cancer incidence and mortality. However, the prognostic implications of preoperative TC in patients with gastric cancer (GC) remain to be determined. METHODS:A total of 1251 patients with GC, who underwent radical gast...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Shin HJ,Roh CK,Son SY,Hoon H,Han SU

    更新日期:2021-01-01 00:00:00

  • Evaluation of the modified HTK solution in pancreas transplantation-An experimental model.

    abstract:INTRODUCTION:One of the great challenges in pancreas transplantation is the ischemia reperfusion injury. It is mentioned that free oxygen and/or nitrogen radicals play a prominent role in this phase. To minimize this problem, a modified histidine-tryptophan-ketoglutarate (HTK) solution that contains modified antioxidan...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Esmaeilzadeh M,Fonouni H,Golriz M,Majlesara A,Kuttymuratov G,Bergmann F,Jarahian P,Khazaeipour Z,Faridar A,Rad MT,Longerich T,Gebhard MM,Mehrabi A

    更新日期:2016-04-01 00:00:00

  • Laparoscopic transabdominal preperitoneal approach for giant inguinal hernias.

    abstract:BACKGROUND:Many surgical techniques have been developed to treat inguinal hernia. In recent years, the laparoscopic transabdominal preperitoneal (TAPP) approach has been widely performed to repair inguinal hernia. Giant inguinal hernia (GIH) is an extremely rare disease that is a challenge for general surgeons. GIH app...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Fujinaka R,Urade T,Fukuoka E,Murata K,Mii Y,Sawa H,Man-I M,Oka S,Iwatani Y,Kuroda D

    更新日期:2019-01-01 00:00:00

  • Use of vacuum-assisted wound closure to manage limb wounds in patients suffering from acute necrotizing fasciitis.

    abstract:BACKGROUND:An effective regimen to treat patients suffering from acute necrotizing fasciitis requires surgical removal of devitalized tissues, systemic administration of broad antimicrobials and ameliorating underlying systemic disease processes. The task of managing wounds consequential to surgical debridement, on the...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章,随机对照试验


    authors: Huang WS,Hsieh SC,Hsieh CS,Schoung JY,Huang T

    更新日期:2006-07-01 00:00:00

  • Surgical treatment of patients with stenosis of the central airway due to tracheal tumours.

    abstract::This study retrospectively evaluated bronchoscopic and surgical treatments for patients with central airway stenosis due to tracheal tumours. Seven patients treated by resection and reconstruction of the trachea for tracheal tumours between 1994 and 2008 were retrospectively reviewed. The most common histological find...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Yasuda M,Hanagiri T,Ichiki Y,Uramoto H,Takenoyama M,Yasumoto K

    更新日期:2010-10-01 00:00:00

  • Better timing of ultrasound-guided transversus abdominis plane block for early recovery after open inguinal herniorrhaphy: A prospective randomised controlled study.

    abstract:BACKGROUND:This study investigated the optimal timing of analgesic transversus abdominis plane (TAP) block in the operating room for better recovery quality using the Korean version of the Quality of Recovery-40 (QoR-40K) questionnaire in patients who had undergone open inguinal herniorrhaphy. METHODS:This single-cent...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Shim JW,Ko J,Lee CS,Lee DS,Park J,Lee HM,Kim YS,Moon YE,Hong SH,Chae MS

    更新日期:2021-01-01 00:00:00

  • Robotic pancreatectomy for solid pseudopapillary tumors in the pancreatic head: A propensity score-matched comparison and analysis from a single center.

    abstract:BACKGROUND:Robotic surgery is the most advanced minimally invasive technique for the treatment of complicated solid pseudopapillary tumors (SPT). The aim of this study is to evaluate feasibility of robotic surgery for the treatment of SPTs in the pancreatic head. METHODS:A retrospective analysis of the clinical data o...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Jin JB,Qin K,Yang Y,Shi YS,Wu ZC,Deng XX,Chen H,Cheng DF,Shen BY,Peng CH

    更新日期:2020-01-01 00:00:00

  • Antrochoanal polyps: clinical presentation and the role of powered endoscopic polypectomy.

    abstract::Antrochoanal polyps are a rare clinical entity. In this review of patients treated between January 1996 and September 2002, there were 18 cases of antrochoanal polyps. The mean age of patients was 20 years. Nasal obstruction was the most common symptom (17 cases, 94%), followed by rhinorrhoea (44%), epistaxis (33%), p...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Gendeh BS,Long YT,Misiran K

    更新日期:2004-01-01 00:00:00

  • Does content of informed consent forms make surgeons vulnerable to lawsuits?

    abstract:BACKGROUND:Written informed consent forms (ICFs) are important for ensuring that physicians disclose core information to patients to help them autonomously decide about treatment and for providing substantial evidence for the surgeon in case of a legal dispute. This paper aims to assess the legal and ethical appropriat...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Ekmekci PE,Güner MD,Toman İN,Karaca G,Karakoyunlu B,Çatal R,Erdem M,Ömeroğlu E

    更新日期:2020-03-01 00:00:00

  • Monitoring perioperative serum albumin can identify anastomotic leakage in colorectal cancer patients with curative intent.

    abstract:BACKGROUND:Preoperative hypoalbuminemia is a well-known risk factor for anastomotic leakage after colorectal surgery, but the association between perioperative albumin level and anastomotic leakage has not been fully investigated in curative colorectal cancer (CRC) patients. METHODS:In total, 200 CRC patients (Stage I...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Shimura T,Toiyama Y,Hiro J,Imaoka H,Fujikawa H,Kobayashi M,Ohi M,Inoue Y,Mohri Y,Kusunoki M

    更新日期:2018-01-01 00:00:00

  • Seminoma in a male phenotype 46XX true hermaphrodite.

    abstract::Although true hermaphrodite is uncommon, it has been reported in more than 400 individuals. Tumours arising in the gonads of true hermaphrodite is a very rare finding and only very few cases have been reported in the literature. We report a case of a 35-year-old phenotype man with bilateral undescended testis with lum...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Malik V,Gupta D,Gill M,Salvi AL

    更新日期:2007-01-01 00:00:00

  • Use of double pigtail stent in hypospadias surgery.

    abstract:OBJECTIVE:Various types and materials of stents have been used for urinary diversion in hypospadias surgery. We evaluated whether double pigtail stents are superior to straight silicone stents. METHODS:We conducted a retrospective chart review of all patients who underwent hypospadias surgery with straight silicone or...

    journal_title:Asian journal of surgery

    pub_type: 杂志文章


    authors: Chang PC,Yeh ML,Chao CC,Chang CJ

    更新日期:2011-01-01 00:00:00