Abstract:

Introduction and Objective: RENAL nefrometry score 7 and above in kidney masses for the evaluation of the perioperative, oncological and functional results of robotic-assisted parcial nefrectomy. Method and Requirements: The demographic, perioperative and postoperative data of cases with robotic partial nefrectomy applied and nefrometry score 7 and above between April 2015 and March 2019 were evaluated as retrospective. Patients with solitary kidney, not applied hot skema, multiple renal mass and partial nefrectomy applied with retroperitoneal technique were dismissed. The average age of patients was 58.08 ± 12.71 years. The average tumor diameter, RENAL score, preoperative eGFR values were 4.19 ± 1.56 cm, 7.88 ± 1.12 and 78.73 ± 18.10 ml/min/1.73m2 respectively. The average duration of the operation, the amount of bleeding, the duration of stay at the hospital were 156.15 ± 45.70 minutes, 139.06 ± 72.96 mL and 3.58 ± 1.03 days respectively. There was no retreat of clarity and radical nefrectomy. The surgical limit positivity was observed in 2 (4.2%) patients. The postoperative 12. The monthly eGFR exchange was -7.19±8.83 ml/min/1.73m2 (9.13%) The rate of 3-4 chronic kidney failure (eGFR< 60 ml/min/1.73m2) was detected at 6.3%. The patient’s average tracking time was 35.08 ± 11.09 months. While cancer-related deaths were not observed during the tracking, the overall survival was 95.8%. RELATED AND RESULTATED: Robot-assisted partial nefrectomy RENAL score is a surgical method that can be successfully applied with reliable oncological and functional results in the middle-high risk group of kidney masses.

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