Predicting outcomes in partial nephrectomy: is the renal score useful?
| Autor: | Alexandre Crippa, André Costa Matos, Felipe Coelho Argolo, Marcos Francisco Dall Oglio, José Roberto Colombo, João Alexandre Queiroz Juveniz |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Multivariate analysis Patients Urology medicine.medical_treatment Operative Time 030232 urology & nephrology Kidney lcsh:RC870-923 Sensitivity and Specificity Nephrectomy Low complexity 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures medicine Humans Prospective Studies Perioperative Period Prospective cohort study Aged Neoplasm Staging Receiver operating characteristic business.industry Reproducibility of Results Perioperative lcsh:Diseases of the genitourinary system. Urology Kidney Neoplasms Surgical access Treatment Outcome 030220 oncology & carcinogenesis Female Laparoscopy Original Article Positive Surgical Margin business |
| Zdroj: | International braz j urol, Volume: 43, Issue: 3, Pages: 422-431, Published: JUN 2017 International braz j urol v.43 n.3 2017 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International Brazilian Journal of Urology, Vol 43, Iss 3, Pp 422-431 International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology |
| ISSN: | 1677-5538 |
| Popis: | Introduction and Objective The R.E.N.A.L. nephrometry system (RNS) has been validated in multiple open, laparoscopic and robotic partial nephrectomy series. The aim of this study was to test the accuracy of R.E.N.A.L. nephrometry system in predicting perioperative outcomes in surgical treatment of kidney tumors 20 min, versus 41.4% and 64.3% MC and HC groups respectively (p=0.03); AUC=0.643 (p=0.07). RNS was associated with convertion rate (LC:28.6% ; MC:47.6%; HC:77.3%, p=0.02). Patients with RNS 8 had 6.06 times greater chance of having a surgery duration >180 min. (p=0.017), AUC=0.63 (p=0.059). R.E.N.A.L. score did not correlate with EBL, complications (Clavien >3), LOS or positive surgical margin. Conclusion R.E.N.A.L. score was a good method in predicting surgical access route and type of nephrectomy. Also was associated with OT and WIT, but with weak accuracy. Although, RNS was not associated with Clavien >3, EBL, LOS or positive surgical margin. |
| Databáze: | OpenAIRE |
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