Head to head impact of MIC vs a novel TRIFECTA score on oncologic and functional outcomes after robotic assisted partial nephrectomy: Results of a multicentric series

The optimal achievement of perioperative outcomes for robot-assisted partial nephrectomy (RAPN) is usually asssessed through standard trifecta or MIC. However, there is paucity of data describing the ability of these tools in predicting oncologic and functional outcomes of RAPN. In this study we performed a head-to-head comparison of our novel trifecta definition with the standard MIC (margin, ischemia, complications) for predicting oncologic and functional outcomes on a large multicenter series of RAPN. Compared to MIC, the newly defined trifecta was a significant predictor of all major oncologic and functional outcomes, including recurrence free survival probabilities. Moreover, the newly defined trifecta is easily and widely applicable in all patients after RAPN, regardless clamping technique.