COMPARISON OF NEPHROMETRIC SYSTEMS IN PARTIAL NEPHRECTOMY FOR RENAL CELL CARCINOMA

T V. Shatylko; V M. Popkov; A Yu. Korolev; D A. Chausovsky

doi:10.23888/PAVLOVJ20171110-117

I.P. Pavlov Russian Medical Biological Herald ›› 2017, Vol. 25 ›› Issue (1) :110 -117. DOI: 10.23888/PAVLOVJ20171110-117

Clinical and experimental oncology

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COMPARISON OF NEPHROMETRIC SYSTEMS IN PARTIAL NEPHRECTOMY FOR RENAL CELL CARCINOMA

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Abstract

Evaluation of efficacy of using nephrometry scores was performed on our own cohort of patients. Correlation between them and clinical variables was studied. All nephrometry scores - RENAL, PADUA and C-index - correlate significantly with ischemia time during partial nephrectomy, but not with total operative time. Kidney resection for intermediate and high complexity tumors caused chronic kidney disease (CKD) de novo or CKD upstaging more often than resection for low complexity tumors. Low complexity tumors on RENAL and PADUA were characterized by significantly lower renal parenchyma ischemia time required for resection. Complications of partial nephrectomy were observed only in groups with intermediate and high tumor complexity, while differences between intermediate and high complexity seemed practically insignificant. Nephrometry systems are useful in clinical practice, but require further improvement.

Keywords

kidney cancer / partial nephrectomy / nephrometry scores / complications / chronic kidney disease

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T V. Shatylko, V M. Popkov, A Yu. Korolev, D A. Chausovsky. COMPARISON OF NEPHROMETRIC SYSTEMS IN PARTIAL NEPHRECTOMY FOR RENAL CELL CARCINOMA. I.P. Pavlov Russian Medical Biological Herald, 2017, 25(1): 110-117 DOI:10.23888/PAVLOVJ20171110-117

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