Abstract:Objective To evaluate the efficacy of the C-index nephrometry score system in retroperitoneal laparoscopic partial nephrectomy (RLPN) of kidney neoplasms.Methods Clinical data of 116 patients treated with RLPN in Huai'an Hospital Affiliated of Xuzhou Medical University and the Second Affiliated Hospital of Soochow University from January 2011 to December 2015 were retrospectively analyzedo, including 70 males and 46 females; aged 40 to 88 years, mean (51.8 ± 4.8) years. Among the 116 patients, 38, 57, 21 were rated as low(CI>2.5), moderate(1.6<CI≤2.5) and high (CI≤1.6) in complications. The correlation between perioperative such as operation time, warm ischemia time, blood loss, postoperative hospital stay, serum creatinine level as well as postoperative complications and centrality index nephrometry score system was analyzed.Results RLPN was successfully performed in 116 patients. There were significant differences between patients of different centrality index nephrometry score system categories in operation time, warm ischemia time, blood loss, serum creatinie level and postoperative complications(F=29.730, 9.506, 56.712, 3.498, χ2=10.306, all P values<0.05). There was no difference in postoperative hospital stay(F=0.423, all P values>0.05). In different centrality index nephrometry score group, there was no significant difference in the incidence of Clavien (Z=4.348, P>0.05).Conclusions The centrality index nephrometry score system is a useful tool which can delineate anatomy characteristics of renal tumors comprehensively. Centrality index nephrometry score system can estimate the surgical outcomes of RLPN. However, further research is required to evaluate its clinical significance more accurately.
王苏贵, 马松, 阳东荣, 单玉喜, 姜福金, 王海梅, 王洪兵, 李强. 向心性指数评分系统在肾癌后腹腔镜肾部分切除术中的应用价值研究[J]. 中华解剖与临床杂志, 2017, 22(2): 139-143.
Wang Sugui, Ma Song, Yang Dongrong, Shan Yuxi, Jiang Fujin, Wang Haimei, Wang Hongbing, Li Qiang.. Application values of the centrality index nephrometry score system in retroperitoneal laparoscopic partial nephrectomy of kidney neoplasms. Chinese Journal of Anatomy and Clinics, 2017, 22(2): 139-143.
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