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Radical Nephrectomy Bad For Bone Health: Research

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Bones & Joints related image Photo: Getty Images

New studies are now suggesting that patients who have been recommended for a major procedure of their kidneys could stand at a risk of adverse bone health post-operation. Researchers from the San Diego School of Medicine, University of California are now telling that doctors should find out if a kidney-sparing surgery is a possibility for a patient so that risks of bone fractures and the like are significantly reduced with advancing age. (1) The kidney surgery could also aid in the restoring of vital kidney functions and reduce the compromise on bone health.

Surgeries that involve major procedures performed on the kidneys or radical nephrectomies are also said to increase metabolic complications in the recovery phase. The patient may experience metabolic acidosis, muscle wasting, osteoporosis, cardiovascular disease, or even death. Doctors are said to recommend radical nephrectomies as it is an easier procedure to perform than kidney-sparing surgeries. (2)

The common reason why a radical nephrectomy is suggested the presence of carcinoma of kidney cells. This urological malignancy is said to inflict 60,920 new cases in the United States during 2011, out of which, 37,120 will be men and 23,800 women. (3)

One of the highest kidney preservation rates in the U.S comes from the centres at San Diego – University of California. It implements robotic technology to perform partial nephrectomies to those patients who would have required radical and open surgeries if diagnosed a few years ago. The procedure followed by the UC San Diego team (led by Ithaar Derweesh and includes fellow researchers Aditya Bagrodia, Reza Mehrazin, Wassim M. Bazzi, Jonathan Silberstein, John B. Malcom, Sean P. Stroup, Omer Raheem, Robert W. Wake, Anthony Patterson, and Jim Y. Wan) promise equivalent cancer cure rates and superior protection of kidney function.

As per Christopher Kane, MD, Professor of Surgery, C. Lowell and JoEllen Parsons Endowed Chair in Urology and Chief of the Division of Urology, and paper co-author, “Too often urologists have done radical nephrectomies for patients who were candidates for partial nephrectomy.

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