Prediction of Postoperative Risks in Laparoscopic Partial Nephrectomy Using RENAL, Mayo Adhesive Probability and Renal Pelvic Score

Anticancer Res. 2017 Mar;37(3):1369-1373. doi: 10.21873/anticanres.11457.

Abstract

Aim: To evaluate the Mayo Adhesive Probability (MAP) score, renal pelvis score, and RENAL nephrometry score for the prediction of surgical outcome in patients with renal masses undergoing laparoscopic partial nephrectomy at a single center.

Patients and methods: A total of 280 patients who underwent laparoscopic partial nephrectomy were identified retrospectively. Thirty-eight patients were excluded because of a lack of preoperative imaging. The outcome measures included surgical technique, patient characteristics, MAP score, renal-pelvis-score, RENAL nephrometry score, and complication rates according to the Clavien-Dindo classification. Regression analysis was performed for assessment of the predictive value of the given scores.

Results: Complications occurred after 32 (13%) operations. There was a significant positive association between the development of complications and RENAL nephrometry score (p=0.003). Prediction of complications was improved by the RENAL nephrometry score [area under the curve (AUC) =0.675] and the MAP score (AUC=0.655): With an increasing MAP score, there was a significantly increased operative time (p=0.033). The renal pelvis score had a minor predicitive role (AUC=0.516) and no correlation was found with postoperative urine leakage.

Conclusion: The MAP score and RENAL nephrometry score seem to be able to predict a complex or complicated intra- and postoperative course, while the renal pelvis score is not suitable for predicting postoperative complications, especially urine leakage.

Keywords: Laparoscopic partial nephrectomy; Mayo Adhesive Probability score; complications; renal cell carcinoma; renal pelvis score.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Area Under Curve
  • Carcinoma, Renal Cell / diagnosis
  • Carcinoma, Renal Cell / surgery
  • Female
  • Humans
  • Kidney Neoplasms / diagnosis*
  • Kidney Neoplasms / surgery*
  • Laparoscopy
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Nephrectomy
  • Postoperative Complications / diagnosis*
  • Postoperative Period
  • Predictive Value of Tests
  • Regression Analysis
  • Retrospective Studies
  • Risk Assessment
  • Severity of Illness Index*
  • Tomography, X-Ray Computed