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Artigo Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

Predicting outcomes in partial nephrectomy: is the renal score useful?

2017; Sociedade Brasileira de Urologia; Volume: 43; Issue: 3 Linguagem: Inglês

10.1590/s1677-5538.ibju.2016.0315

ISSN

1677-6119

Autores

André Costa Matos, Marcos F. Dall’Oglio, José R. Colombo, Alexandre Crippa, João Alexandre Queiroz Juveniz, Felipe Coelho Argôlo,

Tópico(s)

Renal and related cancers

Resumo

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.

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