|Table of Contents|

Predictive value of renal tumor scoring system on arterial based complexity in the complexity of LPN

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2020 02
Page:
252-255
Research Field:
Publishing date:

Info

Title:
Predictive value of renal tumor scoring system on arterial based complexity in the complexity of LPN
Author(s):
He Xingjun1; Qi Lezhong1; Jing Xiayong1; Zhou Hai1; Zhou Ming1; Wang Xiaoxiang1; Cao Pu2
1.Department of Urology,the Affiliated Hospital of Yangzhou University，Jiangsu Yangzhou 225003,China;2.Department of Urology,the Second Hospital of Nanjing,Jiangsu Nanjing 210000,China.
Keywords:
renal tumor scoring system on arterial based complexity; laparoscopic partial nephrectomy; renal tumor; predictive value
PACS:
R737.11
DOI:
10.3969/j.issn.1672-4992.2020.02.017
Abstract:
Objective:To analyze the predictive value of renal tumor scoring system on arterial based complexity in the complexity of LPN.Methods:A retrospective analysis was performed on 128 patients with unilateral renal tumor undergoing laparoscopic partial nephrectomy (LPN) from January 2010 to December 2017.1 chief physician,1 attending doctor and 2 residents were selected in our hospital to re-read the preoperation abdominal enhanced CT of 96 cases of unilateral renal tumor.The renal tumor scoring system on arterial based complexity was used (including the 1,2,3S,3H grades),and the reading results of chief physicians as the evaluation criteria,the rating consistency of other doctors using Kappa value for assessment,and worked out every 2 raters score completely.Logistics multivariate regression analysis was used to evaluate the correlation between renal tumor scoring system on arterial based complexity and operative time,intraoperative blood loss,warm ischemia time.Results:4 physicians in paired average Kappa=0.50,showed the score consistent with high grade distribution.According to multivariate Logistics regression analysis,it was showed that there was no significant correlation between renal tumor scoring system on arterial based complexity and operation time,but it showed significant correlation with the intraoperative bleeding loss and warm ischemia time (both P＜0.05).Conclusion:The renal tumor scoring system on arterial based complexity is closely related to intraoperative bleeding loss and warm ischemia time,so it is of great value in predicting the complexity of LPN.

References:

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扬州市科技项目(编号：YZ2016082)
Last Update: 2019-11-29