PENTAFECTA OUTCOME IN THE INITIAL 30 CASES OF ROBOT-ASSISTED PARTIAL NEPHRECTOMY: OUR EXPERIENCE

Аннотация

Robot-assisted partial nephrectomy (RAPN) has emerged as a minimally invasive surgical technique for the management of renal tumors. The evaluation of surgical outcomes is crucial to assess the efficacy and safety of this procedure. The pentafecta outcome, a composite measure consisting of five specific criteria, has been proposed as a comprehensive assessment tool for RAPN. This study presents our experience with the initial 30 cases of RAPN and evaluates the pentafecta outcome as an indicator of surgical success. Data including patient demographics, tumor characteristics, perioperative outcomes, and postoperative complications were collected and analyzed. The five criteria of the pentafecta outcome, including negative surgical margins, minimal warm ischemia time, preserved renal function, absence of perioperative complications, and absence of conversion to open surgery, were assessed. The overall pentafecta success rate was calculated, and its individual components were analyzed to identify any potential areas for improvement. The findings of this study provide insights into the initial experience with RAPN and the applicability of the pentafecta outcome as an assessment tool in this surgical setting. KEYWORDS Robot-assisted partial nephrectomy, pentafecta outcome, surgical outcomes, minimally invasive surgery, renal tumors.