The Role of Perioperative Parameters on Predicting Acute Kidney Injury During Laparoscopic Abdominal Surgery | [ESCULAPIO. JOURNAL OF SERVICES INSTITUTE OF MEDICAL SCIENCES • 2023]

Author(s):

1. Junaid Khan Lodhi: Department of Surgery, FMH CM&D, Lahore, Pakistan

2. Saba Tahir Bukhari: Department of Surgery, FMH CM&D, Lahore, Pakistan

3. Asma Munaf: Department of Surgery, FMH CM&D, Lahore, Pakistan

4. Saima Amjad: Department of Surgery, FMH CM&D, Lahore, Pakistan

5. Muhammad Zubair: Department of Surgery, Niazi Medical College Sargodha, Pakistan

6. Fawad Hameed: Department of Surgery, ANMC/CMA Lahore, Pakistan

7. Muhammad Shoaib: Department of Surgery, Azra Naheed Medical college Lahore, Pakistan

Abstract:

Objective: To assess role of intra-operative parameters in order to predict acute kidney injury (AKI) following laparoscopic abdominal & pelvic surgery. Material & Methods: This single centred cohort study was conducted at surgical floor, Fatima Memorial hospital, Lahore between May 2020 to May 2022.80 patients underwent laparoscopic abdominal or pelvic surgery. Blood samples were taken for serum creatinine estimation before surgery, 8 hours, 24 hours and 72 hours after surgery. Urine output was measured 8 hours, 24 hours and 72 hours after surgery. Similarly, operation time, insufflation time and blood loss pre-operatively were also calculated. Results: Of the 80 patients, 23 (28.7%) developed AKI. The mean age, blood pressure, BMI, glomerular filtration rate and type of surgical procedure was identical in both AKI &non-AKI groups. Operation time, inflation time and blood loss were significantly higher in AKI group than non-AKI group (p<0.001). Conclusion: AKI is a transient but common condition that can arise after any laparoscopic abdominal surgery. Operation time, inflation time and blood loss can predict AKI perioperatively.

Page(s): 449-452

DOI: 10.51273/esc23.251319415

Published: Journal: ESCULAPIO. JOURNAL OF SERVICES INSTITUTE OF MEDICAL SCIENCES, Volume: 19, Issue: 4, Year: 2023

Keywords:

Pneumoperitoneum , Acute Kidney Injury , Laparoscopic abdominal surgery

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