Partial versus radical nephrectomy for complex renal mass: multicenter comparative analysis of functional outcomes (Rosula collaborative group).
Minerva Urol Nephrol
Humans; Kidney Neoplasms; Carcinoma, Renal Cell; Retrospective Studies; Nephrectomy; Kidney; washington; swedish urology
BACKGROUND: Utility of partial nephrectomy (PN) for complex renal mass (CRM) is controversial. We determined the impact of surgical modality on postoperative renal functional outcomes for CRM.
METHODS: We retrospectively analyzed a multicenter registry (ROSULA). CRM was defined as RENAL Score 10-12. The cohort was divided into PN and radical nephrectomy (RN) for analyses. Primary outcome was development of de-novo estimated glomerular filtration rate (eGFR)/min/1.73 m
RESULTS: We analyzed 969 patients (RN=429/PN=540; median follow-up 24.0 months). RN patients had lower BMI (P
CONCLUSIONS: PN provides functional benefit in selected patients with CRM without significant increase in major complications compared to RN, and should be considered when technically feasible.
Kidney & Diabetes
Cerrato, Clara; Meagher, Margaret F; Autorino, Riccardo; Simone, Giuseppe; Yang, Bo; Uzzo, Robert G; Kutikov, Alexander; Porpiglia, Francesco; Capitanio, Umberto; Montorsi, Francesco; Porter, James R; Beksac, Alp T; Puri, Dhruv; Nguyen, Mimi; Wang, Luke; Hakimi, Kevin; Dhanji, Sohail; Liu, Franklin; Cerruto, Maria A; Pandolfo, Savio D; Minervini, Andrea; Lau, Clayton; Monish, Aron; Eun, Daniel; Mottrie, Alexandre; Mir, Carmen; Sundaram, Chandru; Antonelli, Alessandro; Kaouk, Jihad; and Derweesh, Ithaar H, "Partial versus radical nephrectomy for complex renal mass: multicenter comparative analysis of functional outcomes (Rosula collaborative group)." (2023). Articles, Abstracts, and Reports. 7782.