ArticleSurgical endoscopy2018
Ureteral stents increase risk of postoperative acute kidney injury following colorectal surgery.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 6 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Incidence and risk factors of acute kidney injury after abdominal surgery: a systematic review and meta-analysis.Annals of medicine · 2025Pooled it
- Risk factors for postoperative acute kidney injury in colorectal cancer: a systematic review and meta-analysis.International journal of colorectal disease · 2025Pooled it
- Prophylactic ureteral stent in colorectal surgery: a meta-analysis and systematic review.International urology and nephrology · 2025Pooled it
- Preventing iatrogenic ureteral injury in colorectal surgery: a comprehensive and systematic review of the last 2 decades of literature and future perspectives.Surgery today · 2024Pooled it
- 2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery.World journal of emergency surgery : WJES · 2023Guideline
- The sentinel stent? A systematic review of the role of prophylactic ureteric stenting prior to colorectal resections.International journal of colorectal disease · 2019Pooled it
- Exploring Urinary Tract Injuries in Gynecological Surgery: Current Insights and Future Directions.Healthcare (Basel, Switzerland) · 2025Review
- Prophylactic Ureteral Catheterization for Preventing Ureteral Injury in Colorectal Cancer Surgery.Journal of clinical medicine · 2025Article
- Acute kidney injury after colorectal surgery with prophylactic ureteral stents.Surgical endoscopy · 2024Article
- A delayed diagnosis of iatrogenic ureteral injury results in increased morbidity.Scientific reports · 2024Article
- Risk stratification of acute kidney injury (AKI) following ureteral stent insertion for colorectal surgery.Surgical endoscopy · 2024Article
- Abdominopelvic Surgery: Intraoperative Ureteral Injury and Prophylaxis in the United States, 2015-2019.Advances in therapy · 2023Article
- Safety and Clinical Value of Prophylactic Ureteral Stenting Before Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy.The American surgeon · 2023Article
- Iatrogenic injury of the urinary tract during salvage procedures for pelvic sepsis: Experience of a national referral centre.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022Article
- Association of intraoperative gross hematuria with acute kidney injury after cytoreductive surgery.Pleura and peritoneum · 2022Article
- Routine prophylactic ureteral stenting before cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: Safety and usefulness from a single-center experience.Turkish journal of urology · 2019Article
- Prophylactic Ureteral Catheter Placement Appears to Reduce Intraoperative Ureteric Injury During Resection of Primary Retroperitoneal Liposarcoma.Technology in cancer research & treatmentArticle
- Effectiveness and Cost of Stenting in Ureteral Injury in Colorectal Surgeries in the US: 2015 - 2019.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundUreteral stents are commonly placed before colorectal resection to assist in identification of ureters and prevent injury. Acute kidney injury (AKI) is a common cause of morbidity and increased cost following colorectal surgery. Although previously associated with reflex anuria, prophylactic stents have not been found to increase AKI. We sought to determine the impact of ureteral stents on the incidence of AKI following colorectal surgery.
methodsAll patients undergoing colon or rectal resection at a single institution between 2005 and 2015 were reviewed using American College of Surgeons National Surgical Quality Improvement Program dataset. AKI was defined as a rise in serum creatinine to ≥ 1.5 times the preoperative value. Univariate and multivariate regression analyses were performed to identify independent predictors of AKI.
results2910 patients underwent colorectal resection. Prophylactic ureteral stents were placed in 129 patients (4.6%). Postoperative AKI occurred in 335 (11.5%) patients during their hospitalization. The stent group demonstrated increased AKI incidence (32.6% vs. 10.5%; p < 0.0001) with bilateral having a higher rate than unilateral stents. Hospital costs were higher in the stent group ($23,629 vs. $16,091; p < 0.0001), and patients with bilateral stents had the highest costs. Multivariable logistic regression identified predictors of AKI after colorectal surgery including age, procedure duration, and ureteral stent placement.
conclusionsProphylactic ureteral stents independently increased AKI risk when placed prior to colorectal surgery. These data demonstrate increased morbidity and hospital costs related to usage of stents in colorectal surgery, indicating that placement should be limited to patients with highest potential benefit.
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Registered trials
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