PURPOSE: To analyze the perioperative outcomes and management considerations in @entity1 with dialysis-dependent @entity454 ( @entity454 ) undergoing laparoscopic radical nephrectomy for @entity1358 ( @entity1358 ). METHODS: There were 224 consecutive laparoscopic radical nephrectomies reviewed. Of those, 37 @entity1 with @entity454 were identified and compared with 187 @entity1 with @entity1358 . Evaluable parameters included age, sex, race, side of surgery, medical comorbidities, body mass index, American Society of Anesthesiologist (ASA) scoring, and age adjusted Charlson Comorbidity Index. All complications occurring intraoperatively and within the first 30 days were classified as per the Clavien classification system. Presurgical workup and transplant considerations were evaluated. Demographic and clinical characteristics were compared using Student t tests and chi-square tests for categoric variables. RESULTS: Compared with non- @entity454 @entity1 , those with @entity454 were younger and had smaller @entity5 . ASA was significantly higher in the @entity454 group (P<0.001). Mean @entity190 was similar between @entity454 @entity1 and non- @entity454 @entity1 . Overall complication rates were higher in @entity1 with @entity454 . Pathologic characteristics of @entity454 renal masses included a higher proportion of papillary @entity1358 . CONCLUSION: @entity1 with @entity1358 associated with @entity454 tend to have a higher ASA class and lower grade @entity5 . In addition, this population is at increased risk of surgical complications and more likely to need transfusions. Careful preoperative preparation and intraoperative anesthetic management are crucial to minimize @entity1 morbidity and improve outcomes.

Outcomes and Management Considerations in @entity1 on Dialysis Undergoing Laparoscopic Radical Nephrectomy for XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumors'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['sporadic RCC', 'renal-cell carcinoma', 'RCC'] @entity454 :: ('MESH:D007676', 'Disease') :: ['end-stage renal disease', 'ESRD']
@entity1358 :: (MESH:D002292,Disease) :: ['Renal-Cell Carcinoma']
