DOI

Intraoperative occlusion of the renal artery during laparoscopic partial nephrectomy results in warm ischemia and nonspecific hypoxia-reoxygenation alteration of the renal parenchyma cells with a predominant injury to epitheliocytes of the proximal segments of the tubular nephron system. The onset and development of acute kidney injury (AKI) syndrome, which requires immediate correction, is due to the typical pathological process of cell injury. In this regard, the issue of timely diagnosis of AKI remains highly relevant. In patients at high risk of developing acute renal failure, detection of AKI biomarkers enables early diagnosis. In cases with hypoxia-reoxygenation mediated destruction of epithelial cells of tt. renales, related to warm ischemia, the quality of diagnosis is significantly improved if the standard work-up is supplemented by measurements of the concentration and/or activity of cystatin C, interleukin-18, kidney injury molecule-1, neutrophil gelatinase-associated lipocalin, liver fatty acid binding protein, N-acetyl --glucosaminidase, glutathione S-transferase -isoform, -glutamyl transpeptidase and lactate dehydrogenase. This article provides an overview of published evidence on the properties and diagnostic capabilities of biomarkers of warm ischemia related AKI.

Переведенное названиеBiomarkers of acute hypoxia-reoxygenation injury to nercycites during laparoscopic resection of renal parenchyma
Язык оригиналарусский
Страницы (с-по)120-125
Число страниц6
ЖурналUrologiia (Moscow, Russia : 1999)
Номер выпуска6
DOI
СостояниеОпубликовано - 2017

    Области исследований

  • Acute Disease, Biomarkers/metabolism, Humans, Laparoscopy/adverse effects, Nephrectomy/adverse effects, Reperfusion Injury/diagnosis

ID: 39019168