Abstract：Partial resection of renal tumor (PN) is more and more widely applied clinically. With the progress of minimally invasive surgery, laparoscopic partial nephrectomy (LPN) or robotic-assisted laparoscopic partial nephrectomy (RAPN) has become the recommended surgical approach. The evaluation system of systematic evaluation for the PN complex complexity is also gradually improved. At present, the urologists recognize that perirenal fat thickness and peritoneal fat adhesions can make PN surgery more difficult. In this paper, we reviewed the recent literatures on the assessment of PN surgery, and systematically introduced the systematic review of the clinical significance of preoperative evaluation of partial nephrectomy by renal fat thickness, perirenal fat adduction and MAP scoring system.
[1] 蔡超,钟缔,龙其成,等.MAP肾周脂肪评分在肾部分切除手术中的运用. 实用医学杂志,2015,31(24):4037-4040.
[2] Ficarra V, Novara G, Secco S, et al.Preoperative aspects and dimensions used for an anatomical (PADUA) classification of renal tumours in patients who are candidates for nephron-sparing surgery. Eur Urol, 2009,56(5):786-793.
[3] Long JA, Arnoux V, Fiard GA, et al.External validation of the RENAL nephrometry score in renal tumours treated by partial nephrectomy. BJU Int, 2013,111(2):233-239.
[4] Davidiuk AJ, Parker AS, Thomas CS, et al.Mayo adhesive probability score: an accurate image-based scoring system to predict adherent perinephric fat in partial nephrectomy. Eur Urol, 2014,66(6):1165-1171.
[5] Davidiuk AJ, Parker AS, Thomas CS, et al.Prospective evaluation of the association of adherent perinephric fat with perioperative outcomes of robotic-assisted partial nephrectomy. Urology, 2015,85(4):836-842.
[6] Ioffe E, Hakimi AA, Oh SK, et al.Effect of visceral obesity on minimally invasive partial nephrectomy. Urology, 2013,82(3):612-618.
[7] Dariane C, Le Guilchet T, Hurel S, et al. Prospective assessment and histological analysis of adherent perinephric fat in partial nephrectomies. Urol Oncol, 2017,35(2):39.e9-39.e17.
[8] Park YH, Lee JK, Kim KM, et al.Visceral obesity in predicting oncologic outcomes of localized renal cell carcinoma. J Urol, 2014,192(4):1043-1049.
[9] Gorin MA, Mullins JK, Pierorazio PM, et al.Increased intra-abdominal fat predicts perioperative complications following minimally invasive partial nephrectomy. Urology, 2013,81(6):1225-1230.
[10] Isac WE, Autorino R, White M, et al.The impact of body mass index on surgical outcomes of robotic partial nephrectomy. BJU Int, 2012,110(11 Pt C):E997-E1002.
[11] Naeem N, Petros F, Sukumar S, et al.Robot-assisted partial nephrectomy in obese patients. J Endourol, 2011,25(1):101-105.
[12] Macleod LC, Hsi RS, Gore JL, et al.Perinephric fat thickness is an independent predictor of operative complexity during robot-assisted partial nephrectomy. J Endourol, 2014,28(5):587-591.
[13] House MG, Fong Y, Arnaoutakis DJ, et al.Preoperative predictors for complications after pancreaticoduodenectomy: Impact of BMI and body fat distribution. J Gastrointest Surg, 2008,12(2):270-278.
[14] Morris K, Tuorto S, Goenen M, et al.Simple measurement of intra-abdominal fat for abdominal surgery outcome prediction. Arch Surg, 2010,145(11):1069-1073.
[15] Anderson KM, Lindler TU, Lamberton GR, et al.Laparoscopic donor nephrectomy: effect of perirenal fat upon donor operative time. J Endourol, 2008,22(10):2269-2274.
[16] 杜柘彬,张进,孔文,等.肾周脂肪厚度对预测腹腔镜肾部分切除术手术相关因素价值的研究.现代泌尿生殖肿瘤杂志,2016.8(6):341-344.
[17] Ljungberg B, Bensalah K, Canfield S, et al.EAU guidelines on renal cell carcinoma: 2014 update. Eur Urol, 2015,67(5):913-924.
[18] Zheng Y, Espiritu P, Hakky T, et al.Predicting ease of perinephric fat dissection at time of open partial nephrectomy using preoperative fat density characteristics. BJU Int, 2014,114(6):872-880.
[19] Haseebuddin M, Benway BM, Cabello JM, et al.Robot-asisted partial nephrectomy: evaluation of learning curve for an experienced renal surgeon. J Endourol, 2010,24(1):57-61.
[20] Nisen H, Ruutu M, Glucker E, et al.Renal tumour invasion index as a novel anatomical classification predicting urological complications after partial nephrectomy. Scand J Urol, 2014,48(1):41-51.
[21] 谷军飞,任立新,张勇,等.肾周脂肪粘连对后腹腔镜肾部分切除术的影响.中国内镜杂志,2017,23(5):19-22.
[22] Khene ZE, Peyronnet B, Mathieu RA, et al.Analysis of the impact of adherent perirenal fat on peri-operative outcomes of robotic partial nephrectomy. World J Urol, 2015,33(11):1801-1806.
[23] Kocher NJ, Kunchala S, Reynolds CA, et al.Adherent perinephric fat at minimally invasive partial nephrectomy is associated with adverse peri-operative outcomes and malignant renal histology. BJU Int, 2016,117(4):636-641.
[24] Eisner BH, Zargooshi J, Berger AD, et al.Gender differences in subcutaneous and perirenal fat distribution. Surg Radiol Anat, 2010,32(9):879-882.
[25] Kim S, Choi SK, Lee SM, et al.Predictive value of preoperative unenhanced computed tomography during ureteroscopic lithotripsy: a single institute's experience. Korean J Urol, 2013,54(11):772-777.
[26] Martin L, Rouviere O, Bezza R, et al.Mayo adhesive probability score is an independent computed tomography scan predictor of adherent perinephric fat in open partial nephrectomy. Urology, 2017,103:124-128.
[27] Thiel DD, Davidiuk AJ, Meschia C, et al.Mayo adhesive probability score is associated with localized renal cell carcinoma progression-free survival. Urology, 2016,89:54-60.
[28] Keehn A, Srivastava A, Maiman R, et al.The relationship between visceral obesity and the clinicopathologic features of patients with small renal masses. J Endourol, 2015,29(3):372-376.
[29] Wang Y, Lam KS, Xu JY, et al.Adiponectin inhibits cell proliferation by interacting with several growth factors in an oligomerization-dependent manner. J Biol Chem, 2005,280(18):18341-18347.
[30] Chandran M, Phillips SA, Ciaraldi T, et al.Adiponectin: more than just another fat cell hormone? Diabetes Care, 2003,26(8):2442-2450.
[31] Hanks LJ, Casazza K, Judd SE, et al.Associations of fibroblast growthfactor-23 with markers of inflammation, insulin resistance and obesity in adults. PLoS One, 2015,10(3):e0122885.
[32] Lemoine AY, Ledoux S, Larger E.Adipose tissue angiogenesis in obesity. Thromb Haemost, 2013,110(4):661-668.
[33] Pinthus JH, Kleinmann N, Tisdale B, et al.Lower plasma adiponectin levels are associated with larger tumor size and metastasis in clear-cell carcinoma of the kidney. Eur Urol, 2008,54(4):866-873.
[34] Goktas S, Yilmaz M, Caglar K, et al.Prostate cancer and adiponectin. Urology, 2005,65(6):1168-1172.
[35] Fox P, Hudson M, Brown C, et al.Markers of systemic inflammation predict survival in patients with advanced renal cell cancer. Br J Cancer, 2013, 109(1):147-153.
