ANALYSIS OF CLINICAL PREDICTIVE FACTORS OF THE TRIFECTA OUTCOME AFTER PARTIAL NEPHRECTOMY. AN AGILE STUDY

Scopo del lavoro The trifecta is an accepted index of the excellent surgical outcome after partial nephrectomy. Aim of this study was to assess which clinical variables may be an independent predictors of the trifecta outcome in patients candidates to partial nephrectomy. Materiali e metodi The data of 440 patients treated with open partial nephrectomy for T1 RCC were reviewed in our multi- center prospectively maintained database. Warm ischemia time (WIT)>25 min, complications, and postoperative acute kidney dysfunction (AKD), separately. The perioperative clinical variables associated with the Trifecta outcome, defined as warm ischemia time (WIT) Risultati The trifecta outcome was achieved in 315 (71.6%) patients; 7.5% of patients had WIT ≥ 25 min, 3.5% had PSM and 21.2% had perioperative complications. Reoperation rate for Clavien≥3 complication was 6.7%. On univariate analysis the trifecta was significantly associated with patients gender (p Discussione In our analysis the clarity of the surgical field, associated to the containment of intraoperative bleeding and a favorable tumor nephrometry, resulted of critical importance for the achievement of the excellent surgical outcome.