Despite major advance in surgical techniques in the last decade, acute kidney injury (AKI) is still a major postoperative complication in renal surgery, both in radical (RN) than in partial nephrectomy (PN). One of the most intriguing arguments is to understand if patients affected by pre-operative advanced CKD (stage III-IV-V) require, immediately after surgery, a nephrological intervention to avoid a severe grade of AKI and eventually ESRD. Therefore, aim of our study was to compare the AKI incidence and ESRD with RRT after RN and PN in a selected consecutive cohort of patients with eGFR < 60 ml/min 1.73 (CKD stage III and IV)
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Trevisani et al. (2024) studied this question.
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