A novel trifecta to simplify the assessment of perioperative outcomes after robot assisted partial nephrectomy for cT1 renal masses: Results of a multicenter series

Anceschi, U.; Bertolo, R.; Brassetti, A.; Tuderti, G.; Guaglianone, S.; Garisto, J.; Kaouk, J.; Mottrie, A.; Dell’Oglio, P.; Veccia, A.; Antonelli, A.; Capitanio, U.; Montorsi, F.; Larcher, A.; Minervini, A.; Porpiglia, F.; Aron, M.; Ithaar, D.; Autorino, R.; Swavely, N.; Eun, D.; Ferriero, M.; Gallucci, M.

doi:10.1016/S1569-9056(19)30325-2

Two different definitions of trifecta outcomes after partial nephrectomy are available in Literature, one requiring a volumetric assessment of percentage of parenchyma spared [1], the other requiring a conventional on-clamp approach to be used [2]. Recently, the US FDA and the National Kidney Foundation recommended to consider a 30% decrease of eGFR as a clinically relevant acute kidney injury with potential implication on long term development of chronic kidney disease [3]. The aim of this study is to integrate this data into trifecta system for an easy and wide clinical use in patients treated with RAPN for cT1 renal tumor and to assess factors predicting its achievement.

A novel trifecta to simplify the assessment of perioperative outcomes after robot assisted partial nephrectomy for cT1 renal masses: Results of a multicenter series / Anceschi, U.; Bertolo, R.; Brassetti, A.; Tuderti, G.; Guaglianone, S.; Garisto, J.; Kaouk, J.; Mottrie, A.; Dell’oglio, P.; Veccia, A.; Antonelli, A.; Capitanio, U.; Montorsi, F.; Larcher, A.; Minervini, A.; Porpiglia, F.; Aron, M.; Ithaar, D.; Autorino, R.; Swavely, N.; Eun, D.; Ferriero, M.; Gallucci, M.. - In: EUROPEAN UROLOGY. SUPPLEMENTS. - ISSN 1569-9056. - ELETTRONICO. - 18:(2019), pp. 0-0. [10.1016/S1569-9056(19)30325-2]