From: Modified R.E.N.A.L nephrometry score for predicting the outcome following partial nephrectomy
Complexity according to MNS | p | |||
---|---|---|---|---|
Low (5–9) 15 patient | Moderate (10–14) 20 patient | High (15–23) 16 patient | ||
Age (years) | 49.3 ± 12.3 (20–63) | 51.9 ± 13.7 (30–80) | 48.8 ± 13.9 (20–65) | .941 |
BMI (kg/m2) | 31.4 ± 6.2 (22–42) | 27.3 ± 4.1 (21–36) | 31.4 ± 4.5 (25–39) | .022* |
ASA Score | 1 (1–2) | 1 (1–2) | 2 (1–2) | .404 |
Pre-Op eGFR (ml/min/1.73m2) | 84.9 ± 18.7 (55–141) | 81.7 ± 25.3 (43–130) | 87.3 ± 29.1 (40–140) | .788 |
Pre-Op Hb (gm/dl) | 14 ± 1.3 (11.4–16.4) | 12.7 ± 1.9 (9.1–15.8) | 13 ± 1.5 (10.1–15.6) | .091 |
Sex: male/female | 8 (53.3%)/7 (46.7%) | 11 (55%)/9 (45%) | 10 (56.9%)/6 (37.5%) | .856 |
Side: right/left | 11 (73.3%)/4 (26.7%) | 8 (40%)/12 (60%) | 11 (68.8%)/5 (31.3%) | .087 |
CKD (ml/min/1.73m2) | .583 | |||
> 90 | 5/15 (33.3%) | 5/20 (25%) | 7/16 (43.8%) | |
60–89 | 9/15 (60%) | 11/20 (55%) | 6/16 (37.5%) | |
30–59 | 1/15 (6.7%) | 4/20 (20%) | 3/16 (18.8%) | |
Clinical T | .216 | |||
T1 | 13/15 (86.7%) | 14/20 (70%) | 9/16 (56.2%) | |
T2 | 2/15 (13.3%) | 6/20 (30%) | 7/16 (43.8%) | |
OR time (h) | 2.7 ± 0.67 (1.7–4.25) | 3 ± 0.79 (2–5) | 3.1 ± 0.57 (2.25–4) | .153 |
WIT (min) | 14 (0–20) | 18.5 (0–40) | 16.5 (0–27) | .070 |
LOS (day) | 4 (3–9) | 5 (4–29) | 5 (4–14) | .077 |
Hb loss (gm/dl) | 1 (0.2–3.5) | 1 (0.10–3.7) | 1 (0.1–5.3) | .937 |
Blood loss (ml) | 150 (50–1500) | 275 (50–900) | 475 (50–1100) | .081 |
Ischemia type | .317 | |||
Warm ischemia | 11/15 (73.3%) | 18/20 (90%) | 11/16 (68.8%) | |
No ischemia | 4/15 (26.7%) | 2/20 (10%) | 5/16 (31.2%) | |
Hilar position | 0/10 | 0/10 | 10/10 (100%) | <.001* |
RPS | .049* | |||
Intrarenal/extrarenal | 7 (46.7%)/8 (53.3%) | 14 (70%)/6 (30%) | 14 (87.5%)/2 (12.5%) | |
PCS entry | 5/15 (33.3%) | 11/20 (55%) | 10/16 (62.5%) | .241 |
Post-Op Hb (gm/dl) | 12.7 ± 1.5 (10–15.8) | 11.4 ± 1.8 (7.1–14.5) | 11.5 ± 1.7 (8.6–15) | .074 |
Total complications | 2/15 (13.3%) | 6/20 (30%) | 9/16 (56.3%) | .037* |
Secondary intervention | 2/15 (13.3%) | 5/20 (25%) | 3/16 (18.8%) | .757 |
VC | 1/15 (6.7%) | 2/20 (10%) | 1/16 (6.3%) | 1 |
Ureteric injury | 0/15 | 1/20 (5%) | 1/16 (6.3%) | 1 |
Blood Transfusion | 2/15 (13.3%) | 2/20 (10%) | 5/16 (31.3%) | .269 |
Leakage | 0/15 | 4/20 (20%) | 2/16 (12.5%) | .255 |
Drain removal (d) | 4 (3–8) | 4.5 (4–28) | 5 (3–14) | .200 |
Conversion to RN | 1/15 (6.7%) | 1/20 (5%) | 2/16 (12.5%) | .818 |
RF impairment | 1/15 (6.7%) | 2/20 (10%) | 3/16 (18.8%) | .647 |
Positive margin | 0/15 | 0/20 | 3/16 (18.8%) | .049* |
Post-Op eGFR 3mo (ml/min/1.73m2) | 79.6 ± 15.4 (60–114) | 78.3 ± 23.1 (27–117) | 75.3 ± 26.7 (21.8–130) | .856 |