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KMID : 1001020140120030112
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Korean Journal of Urological Oncology
2014 Volume.12 No. 3 p.112 ~ p.116
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A Review on the Clinical Utility of Nephrometry Scoring System
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Ham Won-Sik
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Abstract
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As a result of the expanding indications for partial nephrectomy and the need for standardized reporting of outcome, several groups have attempted to generate methods of preoperative scoring to quantify renal tumor size, location, and depth based on preoperative imaging findings. Identifying predictive characteristics of renal tumors that can be used to identify risk of prolonged warm ischemia time or surgical complications was the objective of these scoring systems. It has been reported that these nephrometry scoring systems are statistically associated with partial nephrectomy outcomes, including not only early surgical complications but also pathological outcomes. However, the clinical use of these nephrometry scoring systems should depend on clinical and statistical significance, and the use of nephrometry score as a prediction tool in outcome of partial nephrectomy has sometimes been described as controversial. The purpose of this review is to introduce the conflicting opinions on the usefulness of nephrometry scoring systems in real clinical practice
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KEYWORD
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Renal mass, Partial nephrectomy, Nephrometry score
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