MP57-03 THE PKUTH SCORE: A COMPREHENSIVE SYSTEM TO PREDICTE INTRAOPERATIVE BLOOD LOSS IN RADICAL NEPHRECTOMY AND THROMBECTOMY

Abstract

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy IV (MP57)1 Apr 2020MP57-03 THE PKUTH SCORE: A COMPREHENSIVE SYSTEM TO PREDICTE INTRAOPERATIVE BLOOD LOSS IN RADICAL NEPHRECTOMY AND THROMBECTOMY Zhuo Liu*, Zhao Xun, Ma Runzhuo, Zhang Hongxian, Li Liwei, Tang Shiying, Wang Guoliang, Zhang Shudong, Wang Shumin, Tian Xiaojun, and Ma Lulin Zhuo Liu*Zhuo Liu* More articles by this author , Zhao XunZhao Xun More articles by this author , Ma RunzhuoMa Runzhuo More articles by this author , Zhang HongxianZhang Hongxian More articles by this author , Li LiweiLi Liwei More articles by this author , Tang ShiyingTang Shiying More articles by this author , Wang GuoliangWang Guoliang More articles by this author , Zhang ShudongZhang Shudong More articles by this author , Wang ShuminWang Shumin More articles by this author , Tian XiaojunTian Xiaojun More articles by this author , and Ma LulinMa Lulin More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000926.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To develop and validate Peking University Third Hospital Score (PKUTH Score) for the prediction of intraoperative blood loss volume in radical nephrectomy and thrombectomy. METHODS: The clinical data of 153 cases of renal mass with renal vein (RV) or inferior vena cava (IVC) tumor thrombus admitted to urology department of Peking University Third Hospital from January 2015 to May 2018 were retrospectively analyzed. The total amount of blood loss (BL) during operation is equal to the amount of blood sucked out by the aspirator plus the amount of blood in the blood-soaked gauze. Univariate analysis was used to analyze risk factors for intraoperative blood loss, then significant factors were included in subsequent multiple linear regression analysis. RESULTS: The final multivariable model included the following three factors: open operative approach (p≤0.001), Neves classification IV (p≤0.001), IVC resection (p = 0.001). The PKUTH score (0-3) was calculated according to the number of aforementioned risk factors. A significant increase of BL was noticed along with higher risk score. The estimated median blood loss from PKUTH score 0 to 3 was 280mL (IQR 100 - 600mL), 1250mL (IQR 575-2700mL), 2000mL (IQR 1250-2900mL) and 5000ml (IQR 4250-8000ml) respectively. Meanwhile, the higher PKUTH score was, the more chance of postoperative complications (p = 0.004) occured. A tendency but not significant overall survival difference was found between PKUTH risk score 0 vs 1-3 (p = 0.098). CONCLUSIONS: We present a structured and quantitative scoring system, PKUTH Score, to predict intraoperative blood loss volume in radical nephrectomy and thrombectomy. Source of Funding: none © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e858-e858 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Zhuo Liu* More articles by this author Zhao Xun More articles by this author Ma Runzhuo More articles by this author Zhang Hongxian More articles by this author Li Liwei More articles by this author Tang Shiying More articles by this author Wang Guoliang More articles by this author Zhang Shudong More articles by this author Wang Shumin More articles by this author Tian Xiaojun More articles by this author Ma Lulin More articles by this author Expand All Advertisement PDF downloadLoading ...