New-generation nephrometry systems head-to-head comparison of tumor contact surface area and resected and ischemic volume.pdfVIP
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New-generation nephrometry systems head-to-head comparison of tumor contact surface area and resected and ischemic volume.pdf
Urological Science xxx (2016) 1e5
Contents lists available at ScienceDirect
Urological Science
journal homepage:
Original article
New-generation nephrometry systems: head-to-head comparison of tumor contact surface area and resected and ischemic volume
Yu-De Wang a, Chao-Hsiang Chang a, b, Chi-Ping Huang a, Hsi-Chin Wu b, c, Che-Rei Yang a, Po-Fan Hsieh a, *
a Department of Urology, China Medical University Hospital, Taichung, Taiwan b School of Medicine, China Medical University, Taichung, Taiwan c Department of Urology, China Medical University Beigang Hospital, Yunling, Taiwan
article info
Article history: Received 29 April 2016 Received in revised form 1 August 2016 Accepted 29 August 2016 Available online xxx
Keywords: contact surface area partial nephrectomy renal function renal parenchyma
abstract
Objectives: We propose a calculus-based formula to calculate contact surface area (CSA). We examined the correlation of CSA and renal volume loss and the predictability for renal function after partial nephrectomy (PN). Materials and methods: We conducted a retrospective study in patients who underwent PN between January 2012 and December 2014. Based on abdominopelvic computed tomography and magnetic
resonance imaging, we calculated the CSA with the formula: 2 ? p ? r ? d; where r ? radius and
d ? depth, while resected and ischemic volume (RAIV) was determined by the equation
[2w2 t 3w(r t d) t 6rd] ? w ? p? 3, where w ? width of parenchymal ischemia and resection, r ? radius,
and d ? depth. We evaluated the correlation between CSA, RAIV, and perioperative parameters. We compared the ability of CSA and RAIV to predict the reduction in renal function. Results: There were 35, 26, and 45 patients receiving open, laparoscopic, or robot-assisted PN, respectively. The mean ± standard deviation CSA was 30.7 ± 26.1 cm2, and the mean ± standard deviation RAIV was 19.1 ± 14.4 cm3. In Spearman correlation analysis, we found that CSA and RAIV were highly correlated (coef?cient
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