caa a22 4500 605491860 CHVBK 20210128100512.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s10147-014-0714-2 doi (NATIONALLICENCE)springer-10.1007/s10147-014-0714-2 Comparison of diameter-axial-polar nephrometry and RENAL nephrometry score for treatment decision-making in patients with small renal mass [Elektronische Daten] [Yoshio Naya, Akihiro Kawauchi, Masakatu Oishi, Takashi Ueda, Atsuko Fujihara, Yasuyuki Naito, Terukazu Nakamura, Fumiya Hongo, Kazumi Kamoi, Koji Okihara, Tsuneharu Miki] Introduction: The aim of this study was to evaluate our institution's experience in performing laparoscopic radical nephrectomy (LRN) and partial nephrectomy (PN) in patients with small renal masses. Methods: 142 patients with cT1aN0M0 lesions were identified. 68 of these subjects were treated with LRN and 74 were treated with laparoscopic PN (LPN). The clinicopathological characteristics of the two groups of patients, including diameter-axial-polar (DAP) nephrometry and RENAL nephrometry score (RENAL-NS), operative results, and outcomes, were retrospectively analyzed. Results: A multivariate logistic regression analysis for the selection of PN as the treatment showed that tumor size, DAP nephrometry, RENAL-NS and imperative condition were all independent factors. The area under the curve receiver operating characteristics (ROC-AUC) of DAP and RENAL-NS for performing LPN were 0.897 and 0.825, respectively. Conclusions: Although LRN was performed in patients with a high nephrometry score in this study, open partial nephrectomy (OPN) should be considered for patients with a high nephrometry score in T1a renal cell carcinoma (RCC) because of better functional and similar oncological outcomes. Based on ROC analysis, when DAP is 6 or less, LPN should be considered and when DAP is 7 or more, OPN should be considered. Japan Society of Clinical Oncology, 2014 DAP nephrometry nationallicence RENAL nephrometry score nationallicence Laparoscopic partial nephrectomy nationallicence Small renal cell carcinoma nationallicence CKD : Chronic kidney disease nationallicence DAP : Diameter-axial-polar nephrometry nationallicence eGFR : Estimated glomerular filtration rate nationallicence LPN : Laparoscopic partial nephrectomy nationallicence LRN : Laparoscopic radical nephrectomy nationallicence OPN : Open partial nephrectomy nationallicence OS : Overall survival nationallicence PN : Partial nephrectomy nationallicence RENAL-NS : RENAL nephrometry score nationallicence RFA : Radiofrequency ablation nationallicence Naya Yoshio The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut Kawauchi Akihiro The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut Oishi Masakatu The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut Ueda Takashi The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut Fujihara Atsuko The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut Naito Yasuyuki The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut Nakamura Terukazu The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut Hongo Fumiya The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut Kamoi Kazumi The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut Okihara Koji The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut Miki Tsuneharu The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut International Journal of Clinical Oncology Springer Japan 20/2(2015-04-01), 358-361 1341-9625 20:2<358 2015 20 10147 https://doi.org/10.1007/s10147-014-0714-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10147-014-0714-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Naya Yoshio The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 700 1- Kawauchi Akihiro The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 700 1- Oishi Masakatu The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 700 1- Ueda Takashi The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 700 1- Fujihara Atsuko The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 700 1- Naito Yasuyuki The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 700 1- Nakamura Terukazu The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 700 1- Hongo Fumiya The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 700 1- Kamoi Kazumi The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 700 1- Okihara Koji The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 700 1- Miki Tsuneharu The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan aut NATIONALLICENCE 773 0- International Journal of Clinical Oncology Springer Japan 20/2(2015-04-01), 358-361 1341-9625 20:2<358 2015 20 10147