Predicting the surgical difficulty，complications and prognosis of kidney tumors based on anatomical features：advances in renal tumor scoring systems

Gen LI; Yuhao YU; Xuexing FAN; Jincheng LI; Jiasong LI; Pugui LI; Xiaopen CHEN; He WANG; Geng ZHANG; Yong WANG

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Predicting the surgical difficulty，complications and prognosis of kidney tumors based on anatomical features：advances in renal tumor scoring systems

VernacularTitle:基于解剖特征预测肾肿瘤手术难度、并发症及预后——肾肿瘤评分系统的研究进展
Author: Gen LI ¹ ; Yuhao YU ² ; Xuexing FAN ¹ ; Jincheng LI ¹ ; Jiasong LI ¹ ; Pugui LI ¹ ; Xiaopen CHEN ¹ ; He WANG ¹ ; Geng ZHANG ¹ ; Yong WANG ¹
Author Information

1. Department of Urology, The Second Affiliated Hospital of The Air Force Military Medical University of PLA, Xi'an 710038
2. Department of Urology, Xi'an Daxing Hospital, Xi'an 710082, China
Publication Type:Journal Article
Keywords: renal tumor; scoring system; partial nephrectomy; anatomical feature
From: Journal of Modern Urology 2025;30(4):355-363
CountryChina
Language:Chinese
Abstract: Renal tumor scoring systems can describe the anatomical characteristics of renal tumors. It is an important standard to evaluate the surgical complexity and to evaluate the surgical complexity and feasibility of partial nephrectomy. Scholars at home and abroad have established various scoring systems based on different anatomical parameters，such as R.E.N.A.L.，PADUA，C-Index，which are used to guide the clinical selection of surgical modalities，and predict perioperative complications and prognosis. In this paper，various scoring systems are grouped into three major categories according to their functions：prediction of surgical complexity，prediction of complications，and prediction of prognosis. The contents，characteristics and clinical application value of various renal tumor scoring systems are introduced in detail to guide urologists，enhance their surgical decision-making ability，and improve the clinical outcomes.