PDF(Pubmed)
Abstract：
BACKGROUND: To evaluate the predictive value of individual components of the R.E.N.A.L scoring system for Laparoscopic (LPN) and Robotic Partial Nephrectomy (RPN).
METHODS: Patients that had undergone a Laparoscopic (LPN) or Robotic Partial Nephrectomy (RPN) between 2018 and 2023 were reviewed. Our data collection included Race, Ethnicity, Age, BMI, R.E.N.A.L nephrometry score, and complications. Cases that achieved trifecta outcomes were designated as \"Group A\" and cases that did not achieve trifecta were \"Group B\". All the data were collected using REDCap database.
RESULTS: A total of 111 cases were included, Group A consisted of 82% of all cases, whereas Group B 18%. Radius score demonstrated significant distinction concerning trifecta attainment and was the most predictive component of the 5 scoring metrics of the nephrometry system. In a subgroup analysis, R-score of 3 or a renal mass measuring ≥ 7 cm, was a significant independent negative predictor for trifecta outcomes, as well as tumor size at presentation.
CONCLUSIONS: Renal nephrometry score is predictive of trifecta outcomes for patients undergoing laparoscopic or robotic partial nephrectomy. Radius of mass was the most effective predictive component of the nephrometry score for trifecta prediction.
METHODS: Patients that had undergone a Laparoscopic (LPN) or Robotic Partial Nephrectomy (RPN) between 2018 and 2023 were reviewed. Our data collection included Race, Ethnicity, Age, BMI, R.E.N.A.L nephrometry score, and complications. Cases that achieved trifecta outcomes were designated as \"Group A\" and cases that did not achieve trifecta were \"Group B\". All the data were collected using REDCap database.
RESULTS: A total of 111 cases were included, Group A consisted of 82% of all cases, whereas Group B 18%. Radius score demonstrated significant distinction concerning trifecta attainment and was the most predictive component of the 5 scoring metrics of the nephrometry system. In a subgroup analysis, R-score of 3 or a renal mass measuring ≥ 7 cm, was a significant independent negative predictor for trifecta outcomes, as well as tumor size at presentation.
CONCLUSIONS: Renal nephrometry score is predictive of trifecta outcomes for patients undergoing laparoscopic or robotic partial nephrectomy. Radius of mass was the most effective predictive component of the nephrometry score for trifecta prediction.
摘要：
背景：评估R.E.N.A.各个组件的预测值腹腔镜（LPN）和机器人部分肾切除术（RPN）的L评分系统。
方法：回顾了2018年至2023年进行腹腔镜（LPN）或机器人部分肾切除术（RPN）的患者。我们收集的数据包括Race,种族,年龄,BMI,R.E.N.A.L肾病评分,和并发症。达到三连性结局的病例被指定为“A组”，未达到三连性结局的病例被指定为“B组”。所有数据均使用REDCap数据库收集。
结果：共纳入111例，A组占所有病例的82%，而B组18%。Radius评分显示出有关三联得分的显着区别，并且是肾脏测定系统5个评分指标中最具预测性的组成部分。在亚组分析中，R评分为3分或肾脏肿块≥7厘米，是三联结局的显著独立负预测因子，以及出现时的肿瘤大小。
结论：肾脏计评分可预测接受腹腔镜或机器人肾部分切除术的患者的三胎结局。肿块的半径是三fecta预测的肾脏计评分中最有效的预测成分。
方法：回顾了2018年至2023年进行腹腔镜（LPN）或机器人部分肾切除术（RPN）的患者。我们收集的数据包括Race,种族,年龄,BMI,R.E.N.A.L肾病评分,和并发症。达到三连性结局的病例被指定为“A组”，未达到三连性结局的病例被指定为“B组”。所有数据均使用REDCap数据库收集。
结果：共纳入111例，A组占所有病例的82%，而B组18%。Radius评分显示出有关三联得分的显着区别，并且是肾脏测定系统5个评分指标中最具预测性的组成部分。在亚组分析中，R评分为3分或肾脏肿块≥7厘米，是三联结局的显著独立负预测因子，以及出现时的肿瘤大小。
结论：肾脏计评分可预测接受腹腔镜或机器人肾部分切除术的患者的三胎结局。肿块的半径是三fecta预测的肾脏计评分中最有效的预测成分。
