1. Evaluation of the RENAL Nephrometry Scoring System in Adopting Nephron-Sparing Surgery for cTI Renal Cancer.
- Author
-
Yasuda, Yosuke, Yuasa, Takeshi, Yamamoto, Shinya, Urakami, Shinji, Ito, Masaya, Sukegawa, Gen, Kitsukawa, Shinichi, Yonese, Junji, and Fukui, Iwao
- Subjects
- *
RENAL cell carcinoma , *NEPHRECTOMY , *HISTOPATHOLOGY , *DECISION making , *CANCER cells , *UROLOGY , *PATIENTS - Abstract
Objective: The RENAL nephrometry scoring system charac-terizes tumors according to their size, growth pattern, loca-tion and nearness to the renal sinus or collecting system. The current study alms to evaluate the RENAL nephrometry scor-ing system in adopting nephron-sparing surgery (NSS) for cTI renal cancer. Methods: Clinicopathological data of 200 con-secutive patients who had undergone radical nephrectomy (RN) or NSS for clinical stage T1 renal cell cancer at our single institution during 2005-2009 were investigated retrospec-tively. Results: Of 200 patients, 103 were scheduled for RN, whereas 97 were planned to undergo NSS, 9 of whom actu-ally underwent RN. Those who were planned to undergo NSS were youngerand had smaller tumors (p<0.001).The median RENAL score was significantly lower among those who were originally assigned to NSS (5, range 4-10) versus RN (8, range 4-11) (p < 0.001). Three months after surgery, the renal func-tion of patients who had been scheduled for NSS was signifi-cantly better than in those treated by RN (p < 0.001). Conclu-sions: This study suggests that the RENAL nephrometry scor-ing system is a useful tool in adopting NSS for cTI renal cancer and that objective decision-making for NSS was possible. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF