Predictors of trifecta outcomes in laparoscopic partial nephrectomy for clinical XXXX renal masses.

@entity1 @entity13712 @entity5 @entity63
OBJECTIVES: To assess trifecta outcomes for laparoscopic partial nephrectomy for clinical @entity13712 renal masses. METHODS: A total of 63 @entity1 who underwent laparoscopic partial nephrectomy for clinical @entity13712 renal masses by a single surgeon between January 2007 and December 2012 were evaluated. Demographic and perioperative data were collected and statistically analyzed. We retrospectively evaluated trifecta outcomes. Multivariable logistic regression models were used to analyze predictors of trifecta outcomes. Trifecta outcomes were defined as the combination of total @entity63 time <25  min, negative surgical margins and no surgical complications. RESULTS: Of the 63 @entity1 , 39 (62%) achieved trifecta. A total of 21 @entity1 had total @entity63 time >= 25  min, four @entity1 had positive surgical margins and two @entity1 had surgical complications. @entity5 size (P  <  0.001), distance from the urine collecting system or sinus (P  <  0.001) and surgeon's learning curve (P  <  0.01) were significantly different between the trifecta and no-trifecta group. Multivariate analysis showed @entity5 size and surgeon's learning curve to be independent predictors of trifecta outcomes. CONCLUSIONS: @entity5 size and surgeon's learning curve seems to be strong predictors of trifecta outcomes after laparoscopic partial nephrectomy in @entity13712 renal masses.
