ArticlePloS one2020
Role of intraoperative oliguria in risk stratification for postoperative acute kidney injury in patients undergoing colorectal surgery with an enhanced recovery protocol: A propensity score matching analysis.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 17 citations in OpenAlex.
- Association Between Intraoperative Oliguria and Postoperative Acute Kidney Injury in Patients Undergoing Hepatobiliary and Pancreatic Surgery Within an Enhanced Recovery After Surgery Protocol: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Role of Enhanced Recovery After Surgery (ERAS) Protocols in Preventing Postoperative Acute Kidney Injury (AKI).Cureus · 2026Article
- Knowledge, attitudes, and practices of anesthesiologists toward enhanced recovery after surgery and day surgery anesthesia management.BMC anesthesiology · 2025Article
- No increase in chronic kidney disease after postoperative acute kidney injury in gynecologic oncologic ERAS surgery.Gynecologic oncology · 2025Article
- Systemic inflammation and acute kidney injury after colorectal surgery.BMC nephrology · 2024Article
- A multi-national survey to identify health professionals' opinions for the appropriate frequency of urine output monitoring in post-operative patients.Journal of the Intensive Care Society · 2024Article
- The Latest Results and Future Directions of Research for Enhanced Recovery after Surgery in the Field of Colorectal Surgery.Ewha medical journal · 2023Review
- Framework, component, and implementation of enhanced recovery pathways.Journal of anesthesia · 2022Review
- Acute Kidney Injury within an Enhanced Recovery after Surgery (ERAS) Program for Colorectal Surgery.World journal of surgery · 2022Article
- Management of acute kidney injury in gastrointestinal tumor: An overview.World journal of clinical cases · 2021Review
- Male Patients may be More Vulnerable to Acute Kidney Injury After Colorectal Surgery in an Enhanced Recovery Program: A Propensity Score Matching Analysis.World journal of surgery · 2021Article
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Authors and funding
9 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe enhanced recovery after surgery (ERAS) protocol for colorectal cancer resection recommends balanced perioperative fluid therapy. According to recent guidelines, zero-balance fluid therapy is recommended in low-risk patients, and immediate correction of low urine output during surgery is discouraged. However, several reports have indicated an association of intraoperative oliguria with postoperative acute kidney injury (AKI). We investigated the impact of intraoperative oliguria in the colorectal ERAS setting on the incidence of postoperative AKI. PATIENTS AND
methodsFrom January 2017 to August 2019, a total of 453 patients underwent laparoscopic colorectal cancer resection with the ERAS protocol. Among them, 125 patients met the criteria for oliguria and were propensity score (PS) matched to 328 patients without intraoperative oliguria. After PS matching had been performed, 125 patients from each group were selected and the incidences of AKI were compared between the two groups. Postoperative kidney function and surgical outcomes were also evaluated.
resultsThe incidence of AKI was significantly higher in the intraoperative oliguria group than in the non-intraoperative oliguria group (26.4% vs. 11.2%, respectively, P = 0.002). Also, the eGFR reduction on postoperative day 0 was significantly greater in the intraoperative oliguria than non-intraoperative oliguria group (-9.02 vs. -1.24 mL/min/1.73 m2 respectively, P < 0.001). In addition, the surgical complication rate was higher in the intraoperative oliguria group than in the non-intraoperative oliguria group (18.4% vs. 9.6%, respectively, P = 0.045).
conclusionsDespite the proven benefits of perioperative care with the ERAS protocol, caution is required in patients with intraoperative oliguria to prevent postoperative AKI. Further studies regarding appropriate management of intraoperative oliguria in association with long-term prognosis are needed in the colorectal ERAS setting.
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