Analysis of efficacy of robot-assisted partial nephrectomy for T1 renal tumors based on Mayo adhesive probabilityscore
Li Yuzhu
Xiong Zhuang
Gao Yang
Liu Guojun
Guo Gang
Abstract：Objective:To compare the surgical outcomes and efficacy of RAPN for T1 stage renal tumors with different MAP scores.Methods:Clinical data of 120 patients who underwent robot-assisted partial nephrectomy in our hospital from January 2020 to December 2022 were.retrospectively analysed.According to the Mayo adhesive probability(MAP)score of preoperative imaging,they were divided into low-score(81 cases)and high-score group(39 cases).The basic information and surgery-related indicators were compared between the two groups.Results:There were statistically significant differences between the high-score and low-score MAP group inthe proportion of male[89.7%(35/39)vs.63.0%(51/81],age[(58.1±10.5)year vs.(51.7±11.9)year],BMI[(26.1±3.2)kg/m2 vs.(24.6±3.9)kg/m2],proportion of hypertension patients[53.8%(21/39)vs.32.1%(26/81)],surgical time[(154.9±34.6)min vs.(132.3±33.3)min],intraoperative blood loss[50(30,100)ml vs.50(20,50)ml],levels of preoperative white blood cells[(6.3±1.5)×109/L vs.(5.7±1.6)×109/L]and hemoglobin[(140.9±13.8)g/L vs.(134.4±18.0)g/L](P＜0.05),while there was no significant statistical differences in the remaining observed indica-tors between the two groups(P＞0.05).Conclusion:The MAP score has a certain predictive effect on adherent peri-nephric fat,and robotic-assisted partial nephrectomy(RAPN)is safe and effective for treating T1 renal tumors with different MAP scores.MAP≥3 scores increases the difficulty of the surgery.
Keywords：robotic surgical proceduresnephrectomykidney neoplasms
Publication Date：2023-12-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 385-390 )