Pathology associated with adherent perirenal fat and its clinical effect.

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Tytuł:: Pathology associated with adherent perirenal fat and its clinical effect.
Autorzy:: Ceyhan E; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
Ileri F; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
Aki FT; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
Yazici MS; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
Karcaaltincaba M; Department of Radiology, School of Medicine, Hacettepe University, Ankara, Turkey.
Ertoy Baydar D; Department of Pathology, School of Medicine, Koç University, Istanbul, Turkey.
Bilen CY; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
Źródło:: International journal of clinical practice [Int J Clin Pract] 2021 Oct; Vol. 75 (10), pp. e14518. Date of Electronic Publication: 2021 Jun 23.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2022- : Mumbai : Hindawi
Original Publication: Esher [England] ; Bronxville, N.Y. : Medicom International, c1997-
MeSH Terms:: Kidney Neoplasms*
Nephrectomy*
Adult ; Humans ; Intra-Abdominal Fat/diagnostic imaging ; Kidney/diagnostic imaging ; Kidney/surgery ; Middle Aged ; Prospective Studies
References:: Khene Z-E, Peyronnet B, Mathieu R, Fardoun T, Verhoest G, Bensalah K. Analysis of the impact of adherent perirenal fat on peri-operative outcomes of robotic partial nephrectomy. World J Urol. 2015;33(11):1801-1806.
Yanishi M, Kinoshita H, Koito Y, et al. Adherent Perinephric fat is a surgical risk factor in laparoscopic single-site donor nephrectomy: analysis using Mayo adhesive probability score. Transplant Proc. 2020;52(1):84-88.
Macleod LC, Hsi RS, Gore JL, Wright JL, Harper JD. Perinephric fat thickness is an independent predictor of operative complexity during robot-assisted partial nephrectomy. J Endourol. 2014;28(5):587-591.
Lee S-M, Robertson I, Stonier T, Simson N, Amer T, Aboumarzouk OM. Contemporary outcomes and prediction of adherent perinephric fat at partial nephrectomy: a systematic review. Scand J Urol. 2017;51(6):429-434.
Ito H, Makiyama K, Kawahara T, et al. The impact of gender difference on operative time in laparoscopic partial nephrectomy for T1 renal tumor and the utility of retroperitoneal fat thickness as a predictor of operative time. BMC Cancer. 2016;16(1):944.
Davidiuk AJ, Parker AS, Thomas CS, et al. Mayo adhesive probability score: an accurate image-based scoring system to predict adherent perinephric fat in partial nephrectomy. Eur Urol. 2014;66(6):1165-1171.
Martin L, Rouviere O, Bezza R, et al. Mayo adhesive probability score is an independent computed tomography scan predictor of adherent perinephric fat in open partial nephrectomy. Urology. 2017;103:124-128.
Dariane C, Le Guilchet T, Hurel S, et al. Prospective assessment and histological analysis of adherent perinephric fat in partial nephrectomies. Urol Oncol: Semin Orig Invest. 2017;35(2):39.e9-39.e17.
Ishiyama R, Kondo T, Takagi T, et al. Impact of the Mayo adhesive probability score on the complexity of robot-assisted partial nephrectomy. J Endourol. 2018;32(10):928-933.
Gorin MA, Mullins JK, Pierorazio PM, Jayram G, Allaf ME. Increased intra-abdominal fat predicts perioperative complications following minimally invasive partial nephrectomy. Urology. 2013;81(6):1225-1231.
Narita S, Kumazawa T, Tsuchiya N, et al. Host-related risk factors for adherent perinephric fat in healthy individuals undergoing laparoscopic living-donor nephrectomy. Surg Laparosc Endosc Percutan Tech. 2017;27(4):e69.
Kocher NJ, Kunchala S, Reynolds C, Lehman E, Nie S, Raman JD. Adherent perinephric fat at minimally invasive partial nephrectomy is associated with adverse peri-operative outcomes and malignant renal histology. BJU Int. 2016;117(4):636-641.
Davidiuk AJ, Parker AS, Thomas CS, Heckman MG, Custer K, Thiel DD. Prospective evaluation of the association of adherent perinephric fat with perioperative outcomes of robotic-assisted partial nephrectomy. Urology. 2015;85(4):836-842.
Zheng Y, Espiritu P, Hakky T, Jutras K, Spiess PE. Predicting ease of perinephric fat dissection at time of open partial nephrectomy using preoperative fat density characteristics. BJU Int. 2014;114(6):872-880.
Kawamura N, Saito K, Inoue M, et al. Adherent perinephric fat in Asian patients: predictors and impact on perioperative outcomes of partial nephrectomy. Urol Int. 2018;101(4):437-442.
Bylund JR, Qiong H, Crispen PL, Venkatesh R, Strup SE. Association of clinical and radiographic features with perinephric “sticky” fat. J Endourol. 2013;27(3):370-373.
Entry Date(s):: Date Created: 20210613 Date Completed: 20210921 Latest Revision: 20210921
Update Code:: 20240105
DOI:: 10.1111/ijcp.14518
PMID:: 34120392
: Czasopismo naukowe

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Introduction: The dissection of perirenal fat is of critical importance to kidney surgery and ease of dissection is more important when using minimally invasive approaches. This study aimed to determine the clinical, radiological, and pathological significance of adherent perirenal fat (APF).
Materials and Methods: This prospective study included 22 patients scheduled for partial nephrectomy and 40 patients for donor nephrectomy. Intraoperative fat dissection time was recorded, and the complexity of perirenal fat dissection was surgeon-classified as easy, moderate, and difficult. Perirenal fat and subcutaneous fat thickness were measured. Measurement of perirenal fat depth and the Hounsfield unit (HU) for both perirenal and subcutaneous fields were performed using computed tomography (CT) images. All specimens were submitted for histopatological analysis. Researchers in each arm were blinded to other researchers' data.
Results: Mean age of the patients was 51.3 ± 12.7 years. Mean perirenal fat dissection time was 15.0 ± 13.5 minutes. Patient demographics, BMI, nor occupational status differed between the 3 complexity of perirenal fat dissection groups. Radiological findings showed that there was a significant correlation between perirenal fat depth and complexity of perirenal fat dissection (P < .05), but not with HU measurements or subcutaneous fat thickness. Surgeon classification of the complexity of perirenal fat dissection was in accordance with the duration of dissection (P < .05). Perinephric fat contained more fibrous tissue in the patients with histologically proven APF than in those without (P < .05).
Conclusions: APF is a challenge during kidney surgery. Difficult dissection prolongs the duration of perirenal fat dissection and surgery. Perirenal fat thickness measured via preoperative CT might be used to predict APF.
(© 2021 John Wiley & Sons Ltd.)

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