Acute renal failure after laparoscopic gastrectomy: a report of 2 cases and literature review

doi:10.3877/cma.j.issn.1674-6899.2020.04.011

Abstract

Abstract:

Objective

To explore the effect and preventive measures of carbon dioxide pneumoperitoneum on renal function after laparoscopic radical gastrectomy for gastric cancer by analyzing the cases of acute renal failure after laparoscopic gastrectomy.

Methods

The clinical manifestations, auxiliary examinations and clinical treatments of 2 patients with acute renal failure after laparoscopic radical resection of gastric cancer were retrospectively analyzed, combined with the review of related literatures. The effects of carbon dioxide pneumoperitoneum on renal function and preventive measures after laparoscopic radical gastrectomy were discussed.

Results

After continuous renal replacement therapy, the renal function was gradually improved.

Conclusions

The clinical incidence of acute renal failure after laparoscopic gastrectomy is low and the treatment experience is rare. Laparoscopic surgery should be carefully selected for patients with renal insufficiency and complicated with basic diseases such as hypertension, diabetes, coronary heart disease and so on.

Key words: Carbon dioxide pneumoperitoneum, Renal function, Laparoscopy, Gastric cancer

Peng Gao, Zhansheng Zhang, Shuai Zhou, Nan Wang, Xianli He. Acute renal failure after laparoscopic gastrectomy: a report of 2 cases and literature review[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(04): 244-246.

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