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Tumor size and invasiveness matters for partial nephrectomy: External validation and modification of the arterial based complexity score

Authors :
Nina Wagener
Svetlana Hetjens
Daniel Pfalzgraf
Jula Wadle
Maurice Stephan Michel
Philipp Mandel
Johannes Budjan
Maximilian C. Kriegmair
Source :
Journal of Surgical Oncology. 115:768-774
Publication Year :
2017
Publisher :
Wiley, 2017.

Abstract

BACKGROUND Outcome of partial nephrectomy (PN) depends on anatomic features of the renal tumor, which can be assessed by nephrometry scores. The aim was to externally validate and refine the Arterial Based Complexity (ABC) score and to compare it to established systems. METHODS Tumors of 300 patients undergoing PN were categorized according to the ABC, RENAL, and PADUA score. Size and tumor invasiveness were combined to form the ABCD score. Correlation analysis and multivariate logistic regression was performed to validate and compare the respective scores as predictors of surgical outcome. RESULTS The ABC score shows significant correlation with ischemia time (IT) (P

Details

ISSN :
10969098 and 00224790
Volume :
115
Database :
OpenAIRE
Journal :
Journal of Surgical Oncology
Accession number :
edsair.doi.dedup.....ef2500f2929778c12fb09cdbf50f4a45
Full Text :
https://doi.org/10.1002/jso.24565