The role of RENAL, PADUA and C-index scoring systems in predicting the results of partial nephrectomy without ischemia

To evaluate the feasibility and renoprotective effect of off-clamp partial nephrectomy (PN) by renal scoring systems. After approval of the local ethics committee, the radiological and clinical data of patients with renal masses who underwent PN between January 2012 and January 2017 were evaluated i...

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Bibliographic Details
Published in:Asian journal of surgery 2019-01, Vol.42 (1), p.326-331
Main Authors: Alma, Ergun, Ercil, Hakan, Eken, Alper, Deniz, Mehmet Eflatun, Tumer, Erbay, Oksuzler, Fatma Yasemin, Gurbuz, Zafer Gokhan
Format: Article
Language:English
Subjects:
C-index
Off-clamp
PADUA
Partial nephrectomy
RENAL
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Summary:To evaluate the feasibility and renoprotective effect of off-clamp partial nephrectomy (PN) by renal scoring systems. After approval of the local ethics committee, the radiological and clinical data of patients with renal masses who underwent PN between January 2012 and January 2017 were evaluated in two university hospitals. Total 132 patients who underwent open surgery and off-clamp technique were included. All patients underwent contrast-enhanced computed tomography (CT) or magnetic resonance imaging (MRI) preoperatively. Preoperative demographic data, estimated glomerular filtration rate (e-GFR) and hematocrit changes, operation time, tumor volume and hospitalization time from patients were evaluated separately and statistically for each of the three scoring systems. Our study consisted of 132 patients with a mean age of 53.9 ± 13.9 with 69 male and 63 female. Statistically significant difference between the risk groups in RENAL and PADUA scoring were found according to tumor T stage and tumor volüme (p
ISSN:1015-9584
DOI:10.1016/j.asjsur.2018.06.006