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Chronic kidney disease after radical nephrectomy for suspected renal cancers
Chronic kidney disease after radical nephrectomy for suspected renal cancers
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摘要：
Nephrectomy is the treatment of choice for early stage renal cell carcinoma.However,radical nephrectomy is consistently associated with higher rates of newonset chronic kidney disease(CKD)than the general population,regardless of the method used in measuring renal function.The higher rates of CKD are associated with worsened survival because of increased risk of cardiovascular diseases and mortality.Comorbidities and adjacent non-neoplastic kidney diseases are important risk factors for the development of CKD after nephrectomy.Partial nephrectomy has become the standard of care for patients with stage 1a tumours(diameter<4 cm)and an attractive option for those with stage 1b(diameter 4-7 cm).Therefore stratifying the risk of postoperative CKD before surgery is important and ongoing monitoring of kidney function after radical nephrectomy is needed in addition to oncological surveillance.More research is needed to better understand the risk of CKD after radical nephrectomy and develop effective strategies to optimize kidney function after such surgery.
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NEPHRECTOMY
RENAL
function
RENAL
cell
CARCINOMA
CHRONIC
KIDNEY
disease
Prevention
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世界临床泌尿杂志
主办单位：
百世登出版集团有限公司
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不定期
ISSN：
2219-2816
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出版地：
北京市朝阳区东四环中路62号楼远洋国际中
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96
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