Impact of Mannitol Administration on Postoperative Renal Function After Robot-Assisted Partial Nephrectomy

Kazuki Taniguchi, Tomoki Taniguchi*, Kentaro Muraoka, Kohei Nishikawa, Yoshinori Ikehata, Kiyoshi Setoguchi, Suguru Oka, Shin Ebara, Akira Fujisaki, Kazuhide Makiyama, Takahiro Inoue, Hiroshi Kitamura, Kazutaka Saito, Shinji Urakami, Tatsuaki Yoneda, Takuya Koie

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: This study investigated the effect of mannitol administration on postoperative renal function during robot-assisted partial nephrectomy (RAPN) in patients with renal cell carcinoma (RCC). Methods: Patients with RCC who underwent RAPN at eight Japanese facilities between March 2016 and November 2023 were enrolled. In this study, patients were categorized into two groups according to those who received mannitol during RAPN (Group I) and those who did not receive mannitol (Group II). Differences in covariates between the two groups were adjusted using propensity score matching (PSM). Results: The study included 1530 patients with RCC who underwent RAPN. PSM was performed on 531 participants in each group. No difference was observed in perioperative outcomes between the two groups in terms of length of hospital stay, surgical outcomes, achievement ratio of Trifecta, and estimated glomerular filtration rate at 28 days, 90 days, and 1 year postoperatively. Conclusions: Intraoperative mannitol administration during RAPN for improving renal function may be unnecessary.

Original languageEnglish
Article number6444
JournalJournal of Clinical Medicine
Volume13
Issue number21
DOIs
StatePublished - 2024/11

Keywords

  • mannitol
  • postoperative renal function
  • renal cell carcinoma
  • robot-assisted partial nephrectomy

ASJC Scopus subject areas

  • General Medicine

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