The role of RENAL score in predicting complications after robotic partial nephrectomy.

Document Type

Article

Publication Title

Minerva urology and nephrology

Abstract

BACKGROUND: The aim of this study was to evaluate the association between tumor complexity based on RENAL nephrometry score and complications.

METHODS: We retrospectively identified 2555 patients who underwent RPN for renal cell carcinoma. Major complication was defined as Clavien Grade ≥3. The relationship between baseline demographic, clinical characteristics, perioperative and postoperative outcomes, and tumor complexity were assessed using

RESULTS: There was a significant relationship between tumor complexity and WIT (P< 0.001), operative time (P< 0.001), estimated blood loss (P< 0.001), and major complication (P=0.019). However, there was no relationship with overall complications (P=0.237) and length of stay (LOS) (P=0.085). In the unadjusted model, higher tumor complexity was associated with major complication (P=0.009). Controlling for other variables, there was no significant difference between major complication and tumor complexity (low vs. moderate, P=0.142 and high, P=0.204). LOS (P< 0.001) and operative time (P=0.025) remained a significant predictor of major complication in the adjusted model.

CONCLUSIONS: Tumor complexity is not associated with an increase in overall or major complication rate after RPN. Experience in high-volume centers is demonstrating a standardization of low complications rates after RPN independent of tumor complexity.

First Page

57

Last Page

62

DOI

10.23736/S2724-6051.20.03608-5

Publication Date

2-1-2022

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